Provider Demographics
NPI:1225018005
Name:SALAM, MAHI (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHI
Middle Name:
Last Name:SALAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SCHUBERT DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3382
Mailing Address - Country:US
Mailing Address - Phone:610-873-8882
Mailing Address - Fax:610-873-8871
Practice Address - Street 1:106 SCHUBERT DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3382
Practice Address - Country:US
Practice Address - Phone:610-873-8882
Practice Address - Fax:610-873-8871
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMS030492E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist