MEDICARE: DR. IBRAHIM I.M. SALIH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	D0042461	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0100630	OTHER	MD	UNITED HEALTHCARE
3	73673	OTHER	MD	AMERIGROUP
4	26614	OTHER	MD	PRIORITY PARTNERS

General Provider Information

NPI Number	:	1043374929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IBRAHIM I.M. SALIH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 10369
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20914-0369
Country	:	US
Telephone Number	:	301-817-3001
Fax Number	:

Provider Business Practice Location Address
First Line	:	7610 PENNSYLVANIA AVE
Second Line	:	SUITE 200
City	:	FORESTVILLE
State	:	MD
Zip	:	20747-4701
Country	:	US
Telephone Number	:	301-817-3001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	01/19/2023

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