Mohareb, Sameh Nazeeh Adly

Mohareb, Sameh Nazeeh Adly is an individual health care provider with primary practice located at 1825 Salk Ave , Tavares FL 32778-4311. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mohareb, Sameh Nazeeh Adly can be contacted via phone (352) 343-1158.

Contact Information

Primary practice address
1825 Salk Ave Tavares FL 32778-4311
Phone: (352) 343-1158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.207080 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME144808 Florida

Profile Details

NPI number 1609162064
LBN Legal business name Mohareb, Sameh Nazeeh Adly
Credentials MD, M.B.,BCH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Jun 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609162064 NPPES
Louisiana MEDICAID 2370022
Louisiana MEDICAID 05000046

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