Provider Demographics
NPI:1205136959
Name:ALTAF, SAMIA W (MD)
Entity type:Individual
Prefix:DR
First Name:SAMIA
Middle Name:W
Last Name:ALTAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 E ST NW
Mailing Address - Street 2:APT#A-820
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2829
Mailing Address - Country:US
Mailing Address - Phone:202-510-1555
Mailing Address - Fax:
Practice Address - Street 1:2301 E ST NW
Practice Address - Street 2:APT#A-820
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2829
Practice Address - Country:US
Practice Address - Phone:202-510-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD216232083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine