Provider Demographics
NPI:1033284823
Name:CONTRACTOR, SALIM GHULAM (MD)
Entity Type:Individual
Prefix:
First Name:SALIM
Middle Name:GHULAM
Last Name:CONTRACTOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:69 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2907
Mailing Address - Country:US
Mailing Address - Phone:518-822-8484
Mailing Address - Fax:518-822-9335
Practice Address - Street 1:69 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2907
Practice Address - Country:US
Practice Address - Phone:518-822-8484
Practice Address - Fax:518-822-9335
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY180765207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00865490OtherRAILROAD MEDICARE
NY01605912Medicaid
NY01605912Medicaid
NYP00865490OtherRAILROAD MEDICARE
NYA400039711Medicare PIN