Provider Demographics
NPI:1366650053
Name:SALEHA, KHANUM (MD)
Entity Type:Individual
Prefix:DR
First Name:KHANUM
Middle Name:
Last Name:SALEHA
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 1:7800 PRESTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3236
Mailing Address - Country:US
Mailing Address - Phone:972-608-3800
Mailing Address - Fax:972-608-3810
Practice Address - Street 1:7800 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3236
Practice Address - Country:US
Practice Address - Phone:972-608-3800
Practice Address - Fax:972-608-3810
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083124208000000X
TXN8240208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics