Provider Demographics
NPI:1245287572
Name:ALY, SAMEH (MD)
Entity type:Individual
Prefix:
First Name:SAMEH
Middle Name:
Last Name:ALY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10110 MOLECULAR DRIVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-605-7468
Mailing Address - Fax:301-605-7469
Practice Address - Street 1:10110 MOLECULAR DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-605-7468
Practice Address - Fax:301-605-7469
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2011-08-01
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Provider Licenses
StateLicense IDTaxonomies
MDD0045843207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD735600500Medicaid
DCG25073Medicare UPIN
DCG01943M01Medicare UPIN