Maryland Board of Physicians
Physician Profile Portal
This data was extracted on
1/26/2026
.
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License Number
:
H0093060
Dr. Samuel David Fam
License Type
:
Physician-Osteopathic Doctor
License Status
:
Active
License Issued
:
12/09/2021
License Expiration:
09/30/2026
Licensure Pathway:
Traditional
Special License Category:
N/A
Primary Practice Setting
One Medical
114 W 17th St
New York, NY 10011-5433
Public Address
8401 CONNECTICUT AVE
PENTHOUSE SUITE
CHEVY CHASE, MD 20815
Education
LAKE ERIE COLL OF OSTEO MED
Graduation Year: 2015
Medical Assistance and Malpractice Insurance
Accept Medicaid?
No
Maintains Malpractice Insurance?
Yes
Postgraduate Training Program
School
Concentration
Duke University Medical Center Durham, North Carolina
Family Medicine
THE MEDICAL CENTER (COLUMBUS) PROGRAM
Family Medicine
Duke University Hospital, Durham, NC
Family Medicine
Specialty Board Certification
(as reported by licensee)
by
American Board of Medical Specialties (ABMS)
,
American Osteopathic Association (AOA)
,
Royal College of Physicians and Surgeons of Canada (RCPSC)
, or the
College of Family Physicians of Canada (CFPOC)
.
Licensee has not reported Specialty Board Certification information for the profile site.
Self-Designated Practice Area
(as reported by licensee)
Licensee has not reported Self-Designated Practice Area information for the profile site.
Maryland Hospital Privilege Information
(as reported by licensee)
Licensee has not reported Maryland Hospital Privilege information for the profile site.
Medical Licenses Held in Other States
(as reported by licensee)
District of Columbia
New Jersey
New York
Virginia
Collaboration and Consultation Agreements for Naturopathic Doctors
Collaboration and Consultation Agreements have not been reported for the profile site.
Active Supervisor - Evaluation and Treatment Protocols for Athletic Trainers
Evaluation and Treatment protocols have not been reported for the profile site.
Supervised Genetic Counselor - Active Supervisor
Supervisor Agreements have not been reported for the profile site.
Active Supervisor - Delegation Agreement For Core Duties
C0003644
Augusta Jane Malpass Status: Approved |
Approved Date:
10/20/2022 | Agreement No: 31432
C0008203
Christopher N. Sirolli Status: Approved |
Approved Date:
01/24/2023 | Agreement No: 31859
C0003358
Tracey A. Brebner Status: Approved |
Approved Date:
07/13/2023 | Agreement No: 32574
C0009134
Cicily Cherian Status: Approved |
Approved Date:
07/31/2024 | Agreement No: 34700
Download all Maryland Disciplinary Actions
(not time-limited)
All Orders are downloaded in .pdf format.
None.
Summary of Known Disciplinary Actions by any state medical board
(within the past 10 years)
Please Read Description
In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
Pending Charges
Please Read Disclaimer
All Charges are downloaded in .pdf format.
None.
Other Public Actions in the Practice of the Profession or Administrative Fines
(including Maryland)
Please Read Description
No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
MALPRACTICE
(Information to be taken into consideration when reviewing a licensee's profile)
Please Read Malpractice Disclosure
Malpractice Judgments and Arbitration Awards
(within the past 10 years)
None Reported
Malpractice Settlements
(If there are 3 or more settlements of $1,000,000 or greater within the past 5 years)
None Reported
Convictions for any crime involving moral turpitude
None reported by the courts.
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