Basic Information
Provider Information
NPI: 1417968579
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMANI
FirstName: SAM
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1202 MEDICAL CENTER DR
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017307
CountryCode: US
TelephoneNumber: 9103413300
FaxNumber: 9102512067
Practice Location
Address1: 1202 MEDICAL CENTER DR
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284017307
CountryCode: US
TelephoneNumber: 9103413300
FaxNumber: 9102512067
Other Information
ProviderEnumerationDate: 08/11/2006
LastUpdateDate: 06/27/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XD73182MDN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XMD429060PAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X2001-00961NCY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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