Provider Demographics
NPI:1659348068
Name:TAHHAN, SAMI GEORGES (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMI
Middle Name:GEORGES
Last Name:TAHHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-889-5432
Mailing Address - Fax:757-889-5930
Practice Address - Street 1:150 KINGSLEY LN
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4602
Practice Address - Country:US
Practice Address - Phone:757-889-5432
Practice Address - Fax:757-889-5930
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232448207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC065X4OtherBC/BS
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA005878586Medicaid
VA005878594Medicaid
VAPAROtherCIGNA
VA-028OtherTRICARE/CHAMPUS
VA288633OtherANTHEM
VA583149OtherSENTARA/OPTIMA HEALTH
VAPAROtherCORVEL/CORCARE
VA288632OtherANTHEM
VA890571OtherUHC/MAMSI
VAPAROtherMULTIPLAN
VA58349OtherSENTARA OPTIMA
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherAETNA
VAPAROtherUSA MANAGED CARE
NC89065X4Medicaid
VA583149OtherSENTARA/OPTIMA HEALTH
VA005878586Medicaid
VA000098A25Medicare PIN