Provider Demographics
NPI:1912392044
Name:INPATIENT PHYSICIAN SERVICES LLC
Entity Type:Organization
Organization Name:INPATIENT PHYSICIAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:PHALAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-393-8117
Mailing Address - Street 1:31 SE 6TH ST
Mailing Address - Street 2:APT 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3098
Mailing Address - Country:US
Mailing Address - Phone:786-393-8117
Mailing Address - Fax:
Practice Address - Street 1:31 SE 6TH ST
Practice Address - Street 2:APT 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3098
Practice Address - Country:US
Practice Address - Phone:786-393-8117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114105207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty