Provider Demographics
NPI:1295081180
Name:KASOZI LUBEGA, SAMALI (MD)
Entity type:Individual
Prefix:DR
First Name:SAMALI
Middle Name:
Last Name:KASOZI LUBEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAMALI
Other - Middle Name:
Other - Last Name:LUBEGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10700 MACARTHUR BLVD STE 14B
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-5260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10700 MACARTHUR BLVD STE 14B
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-5260
Practice Address - Country:US
Practice Address - Phone:510-981-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA129262207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine