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NPI Code Detail

MEDICARE: DR. SALAM O HADRAMI MD

MEDICARE: DR. SALAM O HADRAMI 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
1207R00000XInternal Medicine Physician0101232732VA
2208M00000XHospitalist Physician051468GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10101232732OTHERVAVIRGINIA MEDICAL LICENSE

General Provider Information

NPI Number : 1922072263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALAM O HADRAMI MD
Provider Business Mailing Address
First Line : 1147 INDEPENDENCE BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-5545
Country : US
Telephone Number : 757-460-1207
Fax Number : 757-460-2136
Provider Business Practice Location Address
First Line : 450 NORTHSIDE CHEROKEE BLVD
Second Line :
City : CANTON
State : GA
Zip : 30115-8015
Country : US
Telephone Number : 770-224-1000
Fax Number : 770-224-2451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 03/07/2023

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Directions to “ DR. SALAM O HADRAMI MD” Practice Location

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