Healthcare Provider Details

I. General information

NPI: 1679538052
Provider Name (Legal Business Name): ZIAD SALEM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HOSPITAL DR
LOGAN WV
25601-3452
US

IV. Provider business mailing address

20 HOSPITAL DR
LOGAN WV
25601-3452
US

V. Phone/Fax

Practice location:
  • Phone: 304-831-1820
  • Fax: 304-831-1823
Mailing address:
  • Phone: 304-831-1820
  • Fax: 304-831-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number21932
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number21932
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: