MEDICARE: ABDELAZIZ A 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	207VM0101X	Maternal & Fetal Medicine Physician	01097016A	IN
2	207VM0101X	Maternal & Fetal Medicine Physician	036076214	IL
3	207VM0101X	Maternal & Fetal Medicine Physician	93818	SC
4	207VM0101X	Maternal & Fetal Medicine Physician	35086215	OH

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699769307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDELAZIZ A SALEH MD

Provider Business Mailing Address
First Line	:	1 PERKINS SQ
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44308-1063
Country	:	US
Telephone Number	:	330-543-4500
Fax Number	:	330-543-4508

Provider Business Practice Location Address
First Line	:	11123 PARKVIEW PLAZA DR STE 205
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1707
Country	:	US
Telephone Number	:	260-425-6650
Fax Number	:	260-672-6519

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	04/07/2026

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Directions to “ ABDELAZIZ A SALEH MD” Practice Location

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