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NPI Code Detail

MEDICARE: DR. NIVIN SALIB MD, MBBCH, MSC, TQM

MEDICARE: DR. NIVIN SALIB MD, MBBCH, MSC, TQM
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
1208M00000XHospitalist Physician4301517098MI
2207R00000XInternal Medicine Physician4301517098MI

General Provider Information

NPI Number : 1457056996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIVIN SALIB MD, MBBCH, MSC, TQM
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 313-874-4806
Fax Number : 313-876-1305
Provider Business Practice Location Address
First Line : 15855 19 MILE RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-3504
Country : US
Telephone Number : 586-260-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 05/04/2026

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