Whalio Doctors

NPI 1013257575

Mohannad Al-Samarraie, MD

Practitioner Ophthalmology Physician Columbia, MO

Practice location

Address
3215 Wingate CT Suite 102, Columbia, MO 65201-7214
Phone
(573) 882-8920
Fax
(573) 884-4868
Mailing address
PO Box 843966, Kansas City, MO 64184-3966

Registered specialties (2)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 2017029105 (MO)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence L2316364 (MI)

Registry record

NPI
1013257575
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Feb 2013
Record last updated
21 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.