Provider Demographics
NPI:1972500148
Name:ZAMANI, SAM SAEED (MD)
Entity Type:Individual
Prefix:DR
First Name:SAM SAEED
Middle Name:
Last Name:ZAMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:112 LA CASA VIA
Mailing Address - Street 2:SUITE 320
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3091
Mailing Address - Country:US
Mailing Address - Phone:925-939-5599
Mailing Address - Fax:925-939-4099
Practice Address - Street 1:112 LA CASA VIA
Practice Address - Street 2:SUITE 320
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3091
Practice Address - Country:US
Practice Address - Phone:925-939-5599
Practice Address - Fax:925-939-4099
Is Sole Proprietor?:No
Enumeration Date:2005-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA61551207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G44731Medicare UPIN