| Salama Md Llc | |
|
5325 Fox Ridge Rd Roanoke VA 24018-8755 | |
| (540) 353-5311 | |
| (201) 228-9980 |
| Full Name | Salama Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5325 Fox Ridge Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Adel M Salama (PRESIDENT) |
| Authorized Official Contact | 5403535311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salama Md Llc 5325 Fox Ridge Rd Roanoke VA 24018-8755 Ph: (540) 353-5311 | Salama Md Llc 5325 Fox Ridge Rd Roanoke VA 24018-8755 Ph: (540) 353-5311 |
| NPI Number | 1861049405 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 08/19/2019 |
| Medicare PECOS PAC ID | 7911239082 |
|---|---|
| Medicare Enrollment ID | O20191023002208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861049405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adel M Salama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003807496 PECOS PAC ID: 2163438219 Enrollment ID: I20100603000535 |
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