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NPI Code Detail

MEDICARE: DR. MARYAM SALEH

MEDICARE: DR. MARYAM SALEH
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 Physician0116042572VA

General Provider Information

NPI Number : 1629795349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARYAM SALEH
Provider Business Mailing Address
First Line : 1000 E BROAD ST
Second Line :
City : RICHMOND
State : VA
Zip : 23219-1930
Country : US
Telephone Number : 804-828-2467
Fax Number : 804-828-5775
Provider Business Practice Location Address
First Line : 1000 E BROAD ST
Second Line :
City : RICHMOND
State : VA
Zip : 23219-1930
Country : US
Telephone Number : 804-828-2467
Fax Number : 804-828-5775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2022
Last Update Date : 06/08/2026

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