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1225039852

NPI Code Detail

MEDICARE: IBRAHIM AHMED SALEJEE MD

MEDICARE: IBRAHIM AHMED SALEJEE MD

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	207R00000X	Internal Medicine Physician	ME72751	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME72751	FL
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD058426L	PA
4	207RP1001X	Pulmonary Disease Physician	Q2197	TX
5	207RP1001X	Pulmonary Disease Physician	MA058426L	PA
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	Q2197	TX

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

General Provider Information

NPI Number	:	1225039852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IBRAHIM AHMED SALEJEE MD

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	254-724-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SCOTT AND WHITE DR
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-6440
Country	:	US
Telephone Number	:	979-207-4000
Fax Number	:	979-207-4562

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	10/16/2020

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Directions to “ IBRAHIM AHMED SALEJEE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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