Healthcare Provider Details

I. General information

NPI: 1437809720
Provider Name (Legal Business Name): SALOMON DAVID AHUMADA SABAGH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SALOMON AHUMADA DO

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N EWING ST
LANCASTER OH
43130-3371
US

IV. Provider business mailing address

6548 CHERRY BND
CANAL WINCHESTER OH
43110-1271
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34.017280
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: