Basic Information
Provider Information
NPI: 1366690711
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADAM
FirstName: SOHEIR
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5213 S ALSTON AVE
Address2:  
City: DURHAM
State: NC
PostalCode: 277134430
CountryCode: US
TelephoneNumber: 9196848111
FaxNumber:  
Practice Location
Address1: 40 DUKE MEDICINE CIR
Address2:  
City: DURHAM
State: NC
PostalCode: 277104000
CountryCode: US
TelephoneNumber: 9199664131
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/28/2008
LastUpdateDate: 05/01/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X200801390NCY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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