Provider Demographics
NPI:1376656231
Name:SALAMA, MAMDOUH GIRGIS (MD)
Entity Type:Individual
Prefix:
First Name:MAMDOUH
Middle Name:GIRGIS
Last Name:SALAMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:620 PELHAM RD
Mailing Address - Street 2:APT 4D
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1451
Mailing Address - Country:US
Mailing Address - Phone:914-576-9720
Mailing Address - Fax:914-576-9720
Practice Address - Street 1:130 WEST KINGSBRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:718-741-4650
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY194569207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease