Healthcare Provider Details

I. General information

NPI: 1073521035
Provider Name (Legal Business Name): DHAFER S YOUNAN SALAMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11446 13 MILE RD SUITE A
WARREN MI
48093
US

IV. Provider business mailing address

11446 13 MILE RD SUITE A
WARREN MI
48093
US

V. Phone/Fax

Practice location:
  • Phone: 586-574-0222
  • Fax: 586-574-1702
Mailing address:
  • Phone: 586-574-0222
  • Fax: 586-574-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberDS043124
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number043124
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: