Provider Demographics
NPI:1467427740
Name:SALAMAT, MUHAMMAD A (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:A
Last Name:SALAMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 SW 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1535
Mailing Address - Country:US
Mailing Address - Phone:785-354-5300
Mailing Address - Fax:785-354-5309
Practice Address - Street 1:3550 S 4TH ST STE 282
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5160
Practice Address - Country:US
Practice Address - Phone:913-596-5010
Practice Address - Fax:833-679-4292
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-33548207RH0003X, 207RX0202X, 207RH0003X
MO2000160872207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS068002204OtherMEDICARE PTAN
KS200588960BMedicaid
KS200588960KMedicaid
KS200588960 AMedicaid
MO1467427740Medicaid
KS200588960CMedicaid
KS200588960 AMedicaid
MOS33000001Medicare PIN
KSP00729476Medicare PIN
KS200588960KMedicaid
KS200588960CMedicaid
MOMA1794003Medicare PIN
KSKA1450005Medicare PIN