Doctor Name: | DR. IBRAHIM I.M. SALIH |
NPI Number: | 1043374929 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0042461 |
Business Practice Address: | 7610 Pennsylvania Ave Suite 200 Forestville, MD - 207474701 |
Business Phone Number: | 3018173001 |
Business Fax Number: | |
Mailing Address: | Po Box 10369, SILVER SPRING |
State: | MD |
Postal Code: | 209140369 |
Phone Number: | 3018173001 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | D0042461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |