Individual
SAMI TAMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-01852
NC
207R00000X
Internal Medicine Physician
Primary
43465
KY
207RN0300X
Nephrology Physician
Primary
43465
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720270838
TRICARE
NC
01
—
1720270838
VIRGINIA MEDICAID
VA
05
—
1720270838
—
NC
01
—
182YK
BCBS
NC
01
—
272341
MEDCOST
NC
01
—
3345588
UNITED HEALTHCARE
NC
01
—
9958748
AETNA
NC
01
—
Q01852
SOUTH CAROLINA MEDICAID
SC
Enumeration date
08/13/2007
Last updated
04/13/2026
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