Individual provider · Type 1 NPI
Samson Olaitan, MD
Student in an Organized Health Care Education/Training Program · Batesville, AR
NPI number
1245409135
Active
Practice location
1993 Harrison St Ste 302
Batesville, AR 72501-7309
Mailing address
1993 Harrison St
Batesville, AR 72501-7309
Other practice locations
- 1175 Vine St, Batesville, AR 72501-3526 · (870) 793-4600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | E-19944 (AR) |
| Physician Assistant | 363A00000X | C0003400 (MD) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1245409135
Samson Olaitan, MD's National Provider Identifier is 1245409135, issued on Feb 25, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Batesville, AR. The record was last updated on Oct 15, 2025.