Provider Demographics
NPI:1013651660
Name:ALGUMAEE, SAMI MOHAMMED SR
Entity Type:Individual
Prefix:MR
First Name:SAMI
Middle Name:MOHAMMED
Last Name:ALGUMAEE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-3319
Mailing Address - Country:US
Mailing Address - Phone:315-395-8258
Mailing Address - Fax:
Practice Address - Street 1:1421 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204-3319
Practice Address - Country:US
Practice Address - Phone:315-395-8258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi