Provider Demographics
NPI:1174830426
Name:HADJADJ, SAMY (MD)
Entity Type:Individual
Prefix:MR
First Name:SAMY
Middle Name:
Last Name:HADJADJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 OLD SUGAR RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3815
Mailing Address - Country:US
Mailing Address - Phone:919-251-9047
Mailing Address - Fax:919-684-3011
Practice Address - Street 1:106 RESEARCH DR
Practice Address - Street 2:MSRB II ROOM 2045
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0004
Practice Address - Country:US
Practice Address - Phone:919-684-9956
Practice Address - Fax:919-684-3011
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ86/2869207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
86/2869OtherFRENCH MEDICAL BOARD NUMBER