Provider Demographics
NPI:1346287737
Name:SALAM, HAMID (MD FACC)
Entity Type:Individual
Prefix:DR
First Name:HAMID
Middle Name:
Last Name:SALAM
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54482
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70154-4482
Mailing Address - Country:US
Mailing Address - Phone:985-871-4140
Mailing Address - Fax:985-871-4150
Practice Address - Street 1:1006 S HARRISON ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3661
Practice Address - Country:US
Practice Address - Phone:985-871-4140
Practice Address - Fax:985-871-4150
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15093R207RI0011X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1166472Medicaid
LA4F479Medicare PIN
LA4F479Medicare PIN