Provider Demographics
NPI:1578115622
Name:SAMI, AHMAD SALAH (MD)
Entity Type:Individual
Prefix:
First Name:AHMAD SALAH
Middle Name:
Last Name:SAMI
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 1:333 SOUTH COLUMBIA ST.
Mailing Address - Street 2:UNC SCHOOL OF MEDICINE
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7229
Mailing Address - Country:US
Mailing Address - Phone:973-462-5707
Mailing Address - Fax:
Practice Address - Street 1:333 SOUTH COLUMBIA ST.
Practice Address - Street 2:UNC SCHOOL OF MEDICINE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7229
Practice Address - Country:US
Practice Address - Phone:973-462-5707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0000000000000000000208000000X
NC0000000002080P0206X
NC2022-01098208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology