Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Etsub Samuel, MD

Individual provider Neurology Physician · NPI 1730742800

Dr. Etsub Samuel, MD is a Neurology in Fredericksburg, Virginia. Qualified in 2014, 12 years ago. Practices with Mary Washington Healthcare Physicians, a 287-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

220 Executive Center Pkwy
Fredericksburg, VA 22401-3107
Phone: (408) 992-9005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 0101277387 (VA)

Record details

NPI number1730742800
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2019
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address220 Executive Center Pkwy, Fredericksburg, VA 22401-3107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mary Washington Healthcare Physicians — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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