MEDICARE: AHMAD SALAH SAMI 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	208000000X	Pediatrics Physician	0000000000000000000	NJ
2	2080P0206X	Pediatric Gastroenterology Physician	000000000	NC
3	208000000X	Pediatrics Physician	2022-01098	NC

General Provider Information

NPI Number	:	1578115622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD SALAH SAMI MD

Provider Business Mailing Address
First Line	:	333 SOUTH COLUMBIA ST.
Second Line	:	UNC SCHOOL OF MEDICINE
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7229
Country	:	US
Telephone Number	:	973-462-5707
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 SOUTH COLUMBIA ST.
Second Line	:	UNC SCHOOL OF MEDICINE
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7229
Country	:	US
Telephone Number	:	973-462-5707
Fax Number	:

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

Provider Enumeration Date	:	07/09/2019
Last Update Date	:	05/06/2022

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