Provider Demographics
NPI:1962461517
Name:TOMA, SAMEH K (MD)
Entity type:Individual
Prefix:DR
First Name:SAMEH
Middle Name:K
Last Name:TOMA
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 1:400 ASHVILLE AVE
Mailing Address - Street 2:#200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6134
Mailing Address - Country:US
Mailing Address - Phone:919-233-1680
Mailing Address - Fax:919-233-1685
Practice Address - Street 1:400 ASHVILLE AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6134
Practice Address - Country:US
Practice Address - Phone:919-233-1680
Practice Address - Fax:919-233-1685
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34809174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8983607Medicaid
NC2174471Medicare ID - Type Unspecified
NCF34103Medicare UPIN