Healthcare Provider Details

I. General information

NPI: 1255240149
Provider Name (Legal Business Name): SALMAN FUNYAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 PLUM ORCHARD DR
SILVER SPRING MD
20904-1147
US

IV. Provider business mailing address

216 COLESVILLE MANOR DR
SILVER SPRING MD
20904-1147
US

V. Phone/Fax

Practice location:
  • Phone: 301-768-0173
  • Fax: 301-768-0173
Mailing address:
  • Phone: 301-768-0173
  • Fax: 301-768-0173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number2084B0040X
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: