MEDICARE: MOHEY K SALEH 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35-055601- S	OH
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	01084935A	IN
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	CDR.0002843	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649270398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHEY K SALEH MD

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-2420
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 REID PKWY STE 240
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-1157
Country	:	US
Telephone Number	:	765-983-3427
Fax Number	:	765-935-8739

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	05/26/2023

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Directions to “ MOHEY K SALEH MD” Practice Location

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