Healthcare Provider Details

I. General information

NPI: 1205042579
Provider Name (Legal Business Name): MUHAMMAD FAISAL SALIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MUHAMMAD FAISAL SALIM MD

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 06/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N INDIAN CANYON DR STE 200
PALM SPRINGS CA
92262
US

IV. Provider business mailing address

1180 N INDIAN CANYON DR STE 200
PALM SPRINGS CA
92262-4857
US

V. Phone/Fax

Practice location:
  • Phone: 760-416-4511
  • Fax: 760-416-4512
Mailing address:
  • Phone: 760-416-4511
  • Fax: 760-416-4512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberA136867
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberA136867
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number2013004552
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License NumberA136867
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberA136867
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: