Provider Demographics
NPI:1902862865
Name:SAMIEC, TAMISHA D (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMISHA
Middle Name:D
Last Name:SAMIEC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 WYOMING ST
Mailing Address - Street 2:MIAMI VALLEY HOSPITAL
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2722
Mailing Address - Country:US
Mailing Address - Phone:937-208-2912
Mailing Address - Fax:937-208-4515
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:MIAMI VALLEY HOSPITAL
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2722
Practice Address - Country:US
Practice Address - Phone:937-208-2912
Practice Address - Fax:937-208-4515
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH649272080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine