Provider Demographics
NPI:1063403756
Name:SROUR, SAMI C (MD)
Entity type:Individual
Prefix:
First Name:SAMI
Middle Name:C
Last Name:SROUR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9500 STOCKDALE HWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3620
Mailing Address - Country:US
Mailing Address - Phone:661-664-2612
Mailing Address - Fax:661-664-2611
Practice Address - Street 1:9500 STOCKDALE HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3620
Practice Address - Country:US
Practice Address - Phone:661-664-2612
Practice Address - Fax:661-664-2611
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAG24567207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42301Medicare UPIN