Provider Demographics
NPI:1013076470
Name:FARADYAN, SAM MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:MICHAEL
Last Name:FARADYAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:525 OKEECHOBEE BLVD
Mailing Address - Street 2:14TH FLOOR
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6349
Mailing Address - Country:US
Mailing Address - Phone:561-804-0200
Mailing Address - Fax:561-804-0222
Practice Address - Street 1:525 OKEECHOBEE BLVD
Practice Address - Street 2:14TH FLOOR
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6349
Practice Address - Country:US
Practice Address - Phone:561-804-0200
Practice Address - Fax:561-804-0222
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2012-07-17
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Provider Licenses
StateLicense IDTaxonomies
NY247648207RP1001X
FL109689207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease