MEDICARE: MAHER SALOUM 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	207R00000X	Internal Medicine Physician	MD00043381	WA
2	207R00000X	Internal Medicine Physician	N4060	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00141129	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0186015	OTHER	WA	LABOR & IND.
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8938463	OTHER	WA	CRIME VICTIMS

General Provider Information

NPI Number	:	1487650487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHER SALOUM MD

Provider Business Mailing Address
First Line	:	8235 S NEW BRAUNFELS STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-4439
Country	:	US
Telephone Number	:	210-616-1317
Fax Number	:

Provider Business Practice Location Address
First Line	:	8235 S NEW BRAUNFELS STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-4439
Country	:	US
Telephone Number	:	210-616-1317
Fax Number	:

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	04/29/2021

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Directions to “ MAHER SALOUM MD” Practice Location

Language	Start Address	Practice Location

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