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Khristiana Samake

Student in an Organized Health Care Education/Training Program in Cleveland, OH. Individual provider (NPI-1).

NPI number1649902867
StatusActive
Last updated in NPPESJun 27, 2022

Details

NPI
1649902867
Entity type
Individual (NPI-1)
Name
Khristiana Samake
Sex
Female
Sole proprietor
No
Enumeration date
Jun 27, 2022
Certification date
Jun 27, 2022
Last updated
Jun 27, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

10900 Euclid Ave
Cleveland, OH 44106-1712

Phone 216-368-0575

Mailing address

10900 Euclid Ave
Cleveland, OH 44106-1712

Phone 216-368-0575

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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