Provider Demographics
NPI:1003888694
Name:SALAMA, AMAL VERONICA (DO)
Entity Type:Individual
Prefix:
First Name:AMAL
Middle Name:VERONICA
Last Name:SALAMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1417 S. CLIFF AVE.
Practice Address - Street 2:STE. 401
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1064
Practice Address - Country:US
Practice Address - Phone:605-322-8920
Practice Address - Fax:605-322-8919
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5462207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD2164898OtherARAZ/ AMERICA'S PPO
MN564R9SAOtherCC SYSTEMS/ BLUE PLUS
SDAH9131041954OtherPREFERRED ONE
SD244043OtherMIDLANDS CHOICE
SD6201320Medicaid
IA0586644Medicaid
MN502468400Medicaid
SD0704072OtherMEDICA
SD5462OtherDAKOTACARE
MN564R9SAOtherBLUE CROSS
SD57105M006OtherWPS TRICARE
SDHP45300OtherHEALTHPARTNERS
IA04235OtherBLUE CROSS
NE46022474316Medicaid
SD4995320OtherBLUE CROSS
SDP00315365OtherRR MEDICARE
SD36764OtherSANFORD HEALTH PLAN
SD5462OtherDAKOTACARE
SDS42339Medicare PIN