MEDICARE: DAVID M SALIB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	0101244327	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053367946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M SALIB MD

Provider Business Mailing Address
First Line	:	241 CORPORATE BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-4975
Country	:	US
Telephone Number	:	757-622-2200
Fax Number	:	757-622-4866

Provider Business Practice Location Address
First Line	:	241 CORPORATE BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-4975
Country	:	US
Telephone Number	:	757-622-2200
Fax Number	:	757-622-4866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	04/23/2013

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Directions to “ DAVID M SALIB MD” Practice Location

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