Provider Demographics
NPI:1750327482
Name:SAMI, HAMID (MD, MSC)
Entity Type:Individual
Prefix:
First Name:HAMID
Middle Name:
Last Name:SAMI
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 LEWIS AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2124
Mailing Address - Country:US
Mailing Address - Phone:203-630-1000
Mailing Address - Fax:203-413-3333
Practice Address - Street 1:455 LEWIS AVE STE 202
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2124
Practice Address - Country:US
Practice Address - Phone:203-630-1000
Practice Address - Fax:203-413-3333
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2009-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0422892084N0400X, 2084N0008X, 2084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001422899Medicaid
CT001422899Medicaid
CT001422899Medicaid
CT130000640Medicare ID - Type UnspecifiedMEDICARE ID NUMBER