MEDICARE: NAWAL SALAHUDDIN 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	19496	WV
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	59415	KY

General Provider Information

NPI Number	:	1841847035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAWAL SALAHUDDIN MD

Provider Business Mailing Address
First Line	:	10299 SOUTHERN BLVD # 212773
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-4337
Country	:	US
Telephone Number	:	53-735-2452
Fax Number	:

Provider Business Practice Location Address
First Line	:	10299 SOUTHERN BLVD # 212773
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-4337
Country	:	US
Telephone Number	:	305-735-2452
Fax Number	:

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

Provider Enumeration Date	:	08/22/2019
Last Update Date	:	07/23/2024

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