MEDICARE: SAMER SALAM

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	343900000X	Non-emergency Medical Transport (VAN)	010409992	LA

General Provider Information

NPI Number	:	1861212268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMER SALAM

Provider Business Mailing Address
First Line	:	145 SAINT ANDREWS DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-9706
Country	:	US
Telephone Number	:	318-308-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 SAINT ANDREWS DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-9706
Country	:	US
Telephone Number	:	318-308-3000
Fax Number	:

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

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	10/11/2024

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Directions to “ SAMER SALAM ” Practice Location

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