Samir David Dacosta
Samir David Dacosta is an Anesthesiology in Ypsilanti, Michigan. Qualified in 2020, 6 years ago. Practices with Huron Gastroenterology Associates PC, a 95-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Ypsilanti, MINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 125.075921 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1083240923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2020 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Huron Gastroenterology Associates Pc — 95 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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