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SAMANTHA WILLIAMS AL-KHARUSY NPI 1659931996


NPI Information

NPI: 1659931996
Provider Name: SAMANTHA WILLIAMS AL-KHARUSY
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2550 UNIVERSITY AVE APT 608
MADISON, WI
ZIP 53705
Phone: (248) 933-4028
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Samantha Williams Al-kharusy is a pediatrics in Madison, WI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Samantha Williams Al-kharusy NPI is 1659931996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2550 UNIVERSITY AVE APT 608
MADISON, WI
ZIP 53705-809
Phone: (248) 933-4028

The NPI 1659931996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2019 and was last updated on 7/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalist75134WISCONSINNo
2390200000XStudent in an Organized Health Care Education/Training Program7761851WISCONSINNo
3208000000XPediatrics75134-20WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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