DRS Munir & Samad

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD034193L Issued in PA

Legal business name

DRS MUNIR & SAMAD

Practice address

99 Baldwin Blvd
Shamokin Dam, PA 17876

Phone

(570) 743-7657

Fax

(570) 743-0047

NPI assigned

Sep 22, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammad M Munir, MDNPI 1861506891

Title

Medical Doctor

Phone

(570) 743-7657

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad M. Munir, MD

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1861506891

  Internal Medicine

  NPD (past) Authorized official
• Mohammad Abdul Samad, MD

  • Internal Medicine Physician
  • Shamokin Dam, PA
  • NPI 1962516997
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891781118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "address_2": "99 BALDWIN BLVD",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "17876",
            "telephone_number": "570-743-7657",
            "fax_number": "570-743-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BALDWIN BLVD",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "17876",
            "telephone_number": "570-743-7657",
            "fax_number": "570-743-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MUNIR & SAMAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNIR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "570-743-7657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034193L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006883990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexus Culligan
• Stephanie Culp
• Steven Wayne Davis, RPH
• Donna Marie Dibartolomeo
• Rachel Grace Dock, R.PH.
• Michael J Dunigan, DC
• Sally Jo Ferguson-Avery, MD
• Shannon Fetzer
• Abigail Fobia
• Alex Frederick

• Internal Medicine Physician in Shamokin Dam, PA
• Providers in Shamokin Dam, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.