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NPI Code Detail

MEDICARE: DR. MOHAMMAD SALEEM CSA

MEDICARE:  DR. MOHAMMAD  SALEEM  CSA
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
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1689916355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD SALEEM CSA
Provider Business Mailing Address
First Line : 16355 EAGLE FLIGHT CIR
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22191-6081
Country : US
Telephone Number : 703-507-8968
Fax Number :
Provider Business Practice Location Address
First Line : 16355 EAGLE FLIGHT CIR
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22191-6081
Country : US
Telephone Number : 703-507-8968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 03/20/2013

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Directions to “ DR. MOHAMMAD SALEEM CSA” Practice Location

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