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General NPI Number Information
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NPI Number | 1710291083
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Entity Type | Organization
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Legal Business Name | IBRAHIM IM SALIH MD PC
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 7610 PENNSYLVANIA AVE SUITE 200
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747
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Country | US
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Telephone | 301-817-3001
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Fax | 301-817-3005
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Provider Business Mailing Address
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Address Line | PO BOX 10369
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City | SILVER SPRING
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State | MD
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Zip | 20914-0369
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Country | US
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Telephone | 301-817-3001
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Fax | 301-817-3005
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Authorized Official
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Title or Position | OWNER
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Name | DR. IBRAHIM I.M. SALIH
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Credential |
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Telephone | 301-817-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D0042461
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0042461
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License Number State | MD
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