Provider Demographics
NPI:1467750752
Name:CAPITAL INTERNAL MEDICINE ASSOCIATES
Entity Type:Organization
Organization Name:CAPITAL INTERNAL MEDICINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:SIRAJ
Authorized Official - Last Name:ALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-724-0526
Mailing Address - Street 1:P.O. BOX 16461
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496
Mailing Address - Country:US
Mailing Address - Phone:832-886-4774
Mailing Address - Fax:
Practice Address - Street 1:6903 BRISBANE CT STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6845
Practice Address - Country:US
Practice Address - Phone:832-886-4774
Practice Address - Fax:800-559-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN4902OtherLICENSE NUMBER