Provider Demographics
NPI:1376559997
Name:SALEM, PHILIP ADEEB (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:ADEEB
Last Name:SALEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 1630
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-796-1221
Mailing Address - Fax:713-796-1281
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 1630
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-796-1221
Practice Address - Fax:713-796-1281
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE7500207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H13BMedicare ID - Type Unspecified
TXC21489Medicare UPIN