Provider Demographics
NPI:1497831051
Name:NEBERAI, SALAH M (MD)
Entity Type:Individual
Prefix:MR
First Name:SALAH
Middle Name:M
Last Name:NEBERAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 ELDEN ST
Mailing Address - Street 2:D
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4891
Mailing Address - Country:US
Mailing Address - Phone:703-471-6996
Mailing Address - Fax:703-435-7762
Practice Address - Street 1:110 ELDEN ST
Practice Address - Street 2:D
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4891
Practice Address - Country:US
Practice Address - Phone:703-471-6996
Practice Address - Fax:703-435-7762
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010582212080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine