Healthcare Provider Details

I. General information

NPI: 1861997074
Provider Name (Legal Business Name): HASSAN R SALEH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN STREET, ML 0781 INTERNAL MEDICINE
CINCINNATI OH
45219
US

IV. Provider business mailing address

234 GOODMAN STREET, ML 0781 INTERNAL MEDICINE
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-4505
  • Fax: 513-584-0468
Mailing address:
  • Phone: 513-584-4505
  • Fax: 513-584-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301504935
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: