Provider Demographics
NPI:1063675114
Name:SALANTA, CAMELIA LOREDANA (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMELIA
Middle Name:LOREDANA
Last Name:SALANTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAMELIA
Other - Middle Name:LOREDANA
Other - Last Name:LUNGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26015 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4703
Mailing Address - Country:US
Mailing Address - Phone:248-552-7230
Mailing Address - Fax:248-552-7514
Practice Address - Street 1:26015 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-4703
Practice Address - Country:US
Practice Address - Phone:248-552-7230
Practice Address - Fax:248-552-7514
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092507207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine