Provider Demographics
NPI:1689779399
Name:PAIS, SAMUEL O (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:O
Last Name:PAIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12111 HENESON GARTH
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1631
Mailing Address - Country:US
Mailing Address - Phone:443-394-8632
Mailing Address - Fax:
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7175
Practice Address - Fax:410-605-7925
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00281502085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology