Provider Demographics
NPI:1972952109
Name:ALLOS, SAMIR S (MD)
Entity type:Individual
Prefix:MR
First Name:SAMIR
Middle Name:S
Last Name:ALLOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 MONROE ST SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5029
Mailing Address - Country:US
Mailing Address - Phone:256-469-7200
Mailing Address - Fax:256-469-7201
Practice Address - Street 1:1102 MONROE ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5029
Practice Address - Country:US
Practice Address - Phone:256-469-7200
Practice Address - Fax:256-469-7201
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9410031207RI0200X, 207R00000X
AL42277207RI0200X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program