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NPI Code Detail

MEDICARE: DR. PETER SAMI SALIB M.D.

MEDICARE: DR. PETER SAMI SALIB 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
1207V00000XObstetrics & Gynecology Physician2014-01111NC

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 : 1639480569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER SAMI SALIB M.D.
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-321-1077
Fax Number : 704-321-1086
Provider Business Practice Location Address
First Line : 1450 MATTHEWS TOWNSHIP PARKWAY
Second Line : SUITE 300
City : MATTHEWS
State : NC
Zip : 28105-5332
Country : US
Telephone Number : 704-321-1077
Fax Number : 704-321-1086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 04/11/2025

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