SAMIR S HADI

LA CROSSE, WI
NPI1861746935
Former NameSAMIR S HADI-TAMIMI
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: WI  72016)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: PA  MD461320)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: CO  Pending)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-10-29
Last Update Date2021-11-22
Business Address
SAMIR S HADI MBchB
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
SAMIR S HADI MBchB
PO BOX 858 MC A410
HERSHEY, PA 17033-0858
Phone number: 800-243-1455