Healthcare Provider Details

I. General information

NPI: 1235908815
Provider Name (Legal Business Name): SALAM MEDICAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12123 CONANT ST
HAMTRAMCK MI
48212-2718
US

IV. Provider business mailing address

43219 TUSCANY DR
STERLING HEIGHTS MI
48314-1948
US

V. Phone/Fax

Practice location:
  • Phone: 313-768-7044
  • Fax:
Mailing address:
  • Phone: 313-768-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAZEDA BEGUM
Title or Position: OFFICE MANAGER/OWNER
Credential:
Phone: 313-768-7044