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NPI Code Detail

MEDICARE: BASSEL A. SALMAN MD

MEDICARE: BASSEL A. SALMAN 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
1208000000XPediatrics Physician35066995OH
2208000000XPediatrics Physician4301062380MI

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 : 1407840432
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASSEL A. SALMAN MD
Provider Business Mailing Address
First Line : 2514 SPRUCE LOOP RD
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-8973
Country : US
Telephone Number : 419-829-3924
Fax Number : 419-251-0916
Provider Business Practice Location Address
First Line : 3901 BEAUBIEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2119
Country : US
Telephone Number : 313-966-5051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 11/15/2023

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