Provider Demographics
NPI:1407966104
Name:SALEH, RASHAD (DC)
Entity Type:Individual
Prefix:
First Name:RASHAD
Middle Name:
Last Name:SALEH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 W VERNOR HWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48209-2180
Mailing Address - Country:US
Mailing Address - Phone:313-554-4357
Mailing Address - Fax:313-554-1565
Practice Address - Street 1:5901 W VERNOR HWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48209-2180
Practice Address - Country:US
Practice Address - Phone:313-554-4357
Practice Address - Fax:313-554-1565
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008454111N00000X, 111NR0200X, 111NT0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0200XChiropractic ProvidersChiropractorRadiology
No111NT0100XChiropractic ProvidersChiropractorThermography
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4453846Medicaid
MI4453846Medicaid
MI0P28180Medicare PIN
MIP28180001Medicare ID - Type Unspecified