Martha Saad Ibrah Boulos in Hampton - Sleep Medicine

Martha Saad Ibrah Boulos - NPI 1548261787

Martha Saad Ibrah Boulos is a Sleep Medicine in Hampton, Virginia. Martha Saad Ibrah Boulos practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Martha Saad Ibrah Boulos is 1548261787. The last update date is 2014-03-14.

Martha Saad Ibrah Boulos's current location address is 4000 Coliseum Dr, Hampton, Virginia. You can contact this provider via phone number 7577368050 and fax number 7577368080. The mailing address for Martha Saad Ibrah Boulos is 4000 Coliseum Dr, Hampton, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Martha Saad Ibrah Boulos
Address 4000 Coliseum Dr, Hampton, Virginia
Phone Number 7577368050
Fax Number 7577368080
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1548261787
Provider Enumeration Date 2005-08-10
Last Updated Date 2014-03-14

Provider Mailing Address Detail

Address 4000 Coliseum Dr
City Hampton
State Virginia (VA)
Post Code 236665906
Phone Number 7577368050
Fax Number 7577368080

Provider's Primary Taxonomy Detail

Speciality Sleep Medicine
Taxonomy 2084S0012X
Licence No 101246181
Definition:
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2596743 NY --

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FAQs about Martha Saad Ibrah Boulos

What is the unique 10-digit identification code issued to Martha Saad Ibrah Boulos by the Centers for Medicare & Medicaid Services?

The Martha Saad Ibrah Boulos has been assigned the NPI (National Provider Identifier) 1548261787 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Martha Saad Ibrah Boulos is geographically located?

The Martha Saad Ibrah Boulos is physically situated at the following location: 4000 Coliseum Dr, Hampton, VA, 236665906.

What is the area of specialization for Martha Saad Ibrah Boulos, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Martha Saad Ibrah Boulos is Sleep Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084S0012X.

On what date did the Centers for Medicare & Medicaid Services assign the 1548261787 to Martha Saad Ibrah Boulos?

The Centers for Medicare & Medicaid Services assigned the 1548261787 to Martha Saad Ibrah Boulos on 2005-08-10.

As of what date were the details related to Martha Saad Ibrah Boulos most recently updated or revised?

The information pertaining to Martha Saad Ibrah Boulos, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-14.

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