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NPI Code Detail

MEDICARE: DR. MOHAMMAD SALEH M.D.

MEDICARE: DR. MOHAMMAD SALEH M.D.
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
1207R00000XInternal Medicine Physician4301104955MI

General Provider Information

NPI Number : 1619394004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD SALEH M.D.
Provider Business Mailing Address
First Line : 620 N PONTIAC TRL
Second Line :
City : WALLED LAKE
State : MI
Zip : 48390-3448
Country : US
Telephone Number : 248-624-4511
Fax Number :
Provider Business Practice Location Address
First Line : 620 N PONTIAC TRL
Second Line :
City : WALLED LAKE
State : MI
Zip : 48390-3448
Country : US
Telephone Number : 248-624-4511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 03/26/2021

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