Provider Demographics
NPI:1285634600
Name:HAMAD, SABAH (MD)
Entity Type:Individual
Prefix:DR
First Name:SABAH
Middle Name:
Last Name:HAMAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MONARCH WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-8975
Mailing Address - Country:US
Mailing Address - Phone:919-854-2929
Mailing Address - Fax:919-851-9223
Practice Address - Street 1:530 NEW WAVERLY PL
Practice Address - Street 2:STE. 304
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7414
Practice Address - Country:US
Practice Address - Phone:919-851-9193
Practice Address - Fax:919-851-9223
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000223208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC016W6OtherBC/BS GROUP ID #
NC1253MOtherBC/BS INDIVIDUAL ID#
NC5900017Medicaid
NC891253MMedicaid
NC2000-00223OtherNC MEDICAL LICENSE #
NC5082560OtherAETNA PROVIDER #
NC8722516OtherCIGNA PROVIDER #
NC5900017Medicaid
NC2345062 (GROUP #)Medicare PIN
NC8722516OtherCIGNA PROVIDER #
NC5082560OtherAETNA PROVIDER #
NC2280116AMedicare PIN