Provider Demographics
NPI:1497384176
Name:SALEM, AHMED BASSAM (DO)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:BASSAM
Last Name:SALEM
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:500 J. CLYDE MORRIS BLVD.
Mailing Address - Street 2:DEPT. OF MEDICAL EDUCATION/ ANNEX: SECOND FLOOR
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601
Mailing Address - Country:US
Mailing Address - Phone:757-612-7200
Mailing Address - Fax:757-594-3184
Practice Address - Street 1:500 J. CLYDE MORRIS BLVD.
Practice Address - Street 2:DEPT OF MEDICAL EDUCATION/ANNEX: 2ND FLOOR
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601
Practice Address - Country:US
Practice Address - Phone:757-612-7200
Practice Address - Fax:757-594-3184
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2024-04-19
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Provider Licenses
StateLicense IDTaxonomies
AL3258207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine