Provider Demographics
NPI:1356780498
Name:SAMREEN, SARAH (MBBS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:SAMREEN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0541
Mailing Address - Country:US
Mailing Address - Phone:409-772-1846
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:UNIVERSITY OF TEXAS MEDICAL BRANCH
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0541
Practice Address - Country:US
Practice Address - Phone:409-772-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256504208600000X
TX46798208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty