Provider Demographics
NPI:1134494495
Name:SALAM, MOHAMMAD ABDUS (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ABDUS
Last Name:SALAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:450 CLARKSON AVE
Mailing Address - Street 2:SUNY DOWNSTATE MEDICAL CENTER, DEPT. OF ANESTHESIOLOGY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2012
Mailing Address - Country:US
Mailing Address - Phone:718-270-2331
Mailing Address - Fax:718-270-3977
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:SUNY DOWNSTATE MEDICAL CENTER, DEPT. OF ANESTHESIOLOGY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2012
Practice Address - Country:US
Practice Address - Phone:718-270-1926
Practice Address - Fax:718-270-3977
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2020-05-29
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Provider Licenses
StateLicense IDTaxonomies
NY267089207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04502232Medicaid