Provider Demographics
NPI:1326336934
Name:SELIM, SOMAIA (MD)
Entity Type:Individual
Prefix:
First Name:SOMAIA
Middle Name:
Last Name:SELIM
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 1:1215 DUFF AVENUE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:641-753-8616
Mailing Address - Fax:641-844-2205
Practice Address - Street 1:312 EAST MAIN
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1992
Practice Address - Country:US
Practice Address - Phone:641-753-8616
Practice Address - Fax:641-844-2205
Is Sole Proprietor?:No
Enumeration Date:2011-07-16
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA43254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine