MEDICARE: DR. SABAH HAMAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	200000223	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	016W6	OTHER	NC	BC/BS GROUP ID #
2	1253M	OTHER	NC	BC/BS INDIVIDUAL ID#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2000-00223	OTHER	NC	NC MEDICAL LICENSE #
6	5082560	OTHER	NC	AETNA PROVIDER #
7	8722516	OTHER	NC	CIGNA PROVIDER #

General Provider Information

NPI Number	:	1285634600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABAH HAMAD MD

Provider Business Mailing Address
First Line	:	107 MONARCH WAY
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-8975
Country	:	US
Telephone Number	:	919-854-2929
Fax Number	:	919-851-9223

Provider Business Practice Location Address
First Line	:	530 NEW WAVERLY PL
Second Line	:	STE. 304
City	:	CARY
State	:	NC
Zip	:	27518-7414
Country	:	US
Telephone Number	:	919-851-9193
Fax Number	:	919-851-9223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	08/13/2009

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Directions to “ DR. SABAH HAMAD MD” Practice Location

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