Healthcare Provider Details

I. General information

NPI: 1912229451
Provider Name (Legal Business Name): SALAH ELDIN ELSAID ELDOHIRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 S SAGINAW ST STE 1815
FLINT MI
48507-2677
US

IV. Provider business mailing address

4800 S SAGINAW ST STE 1815
FLINT MI
48507-2677
US

V. Phone/Fax

Practice location:
  • Phone: 810-275-9152
  • Fax: 810-213-0228
Mailing address:
  • Phone: 810-275-9152
  • Fax: 810-213-0228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4301091833
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: