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NPI Code Detail

MEDICARE: MR. MOHAMED OMAR SALEH MD

MEDICARE: MR. MOHAMED OMAR SALEH 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
12084F0202XForensic Psychiatry Physician11784NV
22084P0800XPsychiatry Physician11784NV
32084P0802XAddiction Psychiatry Physician11784NV

Other Identifiers

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

General Provider Information

NPI Number : 1407800766
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOHAMED OMAR SALEH MD
Provider Business Mailing Address
First Line : 1408 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 84146-3137
Country : US
Telephone Number : 702-202-0099
Fax Number : 904-346-0887
Provider Business Practice Location Address
First Line : 1408 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3137
Country : US
Telephone Number : 702-202-0099
Fax Number : 904-346-0887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 09/14/2016

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