Individual
SAMAH SALIH ABDALLA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-6652
(662) 377-1073
Mailing address
1443 GUN CLUB RD, TUPELO, MS 38801-0368
(312) 515-9537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-5958
MS
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
125083175
IL
Other
Enumeration date
07/10/2024
Last updated
09/09/2025
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