Provider Demographics
NPI:1174006449
Name:GUINJOAN, SALVADOR MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:MARTIN
Last Name:GUINJOAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5480 WISCONSIN AVE STE 223
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3503
Mailing Address - Country:US
Mailing Address - Phone:301-576-6044
Mailing Address - Fax:301-576-1645
Practice Address - Street 1:5480 WISCONSIN AVE STE 223
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3503
Practice Address - Country:US
Practice Address - Phone:301-576-6044
Practice Address - Fax:301-576-1645
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK355772084P0800X
MDD542892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK201079740AMedicaid