Healthcare Provider Details

I. General information

NPI: 1144625658
Provider Name (Legal Business Name): AHMED SESAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NEW BERN AVE
RALEIGH NC
27610
US

IV. Provider business mailing address

130 MASON FARM RD
CHAPEL HILL NC
27514-4617
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-0522
  • Fax: 919-350-7687
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2018-00873
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: