MEDICARE: DR. GABRIEL SALAMI CRNA

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	367500000X	Certified Registered Nurse Anesthetist	CRNA299476	GA
2	367500000X	Certified Registered Nurse Anesthetist	1218022	TX

General Provider Information

NPI Number	:	1881423465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIEL SALAMI CRNA

Provider Business Mailing Address
First Line	:	5292 PEACHTREE LANDING DR
Second Line	:
City	:	ELLENWOOD
State	:	GA
Zip	:	30294-3564
Country	:	US
Telephone Number	:	470-875-7731
Fax Number	:

Provider Business Practice Location Address
First Line	:	5292 PEACHTREE LANDING DR
Second Line	:
City	:	ELLENWOOD
State	:	GA
Zip	:	30294-3564
Country	:	US
Telephone Number	:	470-875-7731
Fax Number	:

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

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	01/13/2026

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