Provider Demographics
NPI:1326285461
Name:TOTAL HEALTH TOTAL WOMAN, PLLC
Entity Type:Organization
Organization Name:TOTAL HEALTH TOTAL WOMAN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAHTAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-858-0801
Mailing Address - Street 1:540 NEW WAVERLY PL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7421
Mailing Address - Country:US
Mailing Address - Phone:919-858-0801
Mailing Address - Fax:919-858-0804
Practice Address - Street 1:540 NEW WAVERLY PL
Practice Address - Street 2:SUITE 106
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7421
Practice Address - Country:US
Practice Address - Phone:919-858-0801
Practice Address - Fax:919-858-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty