Provider Demographics
NPI:1497944888
Name:DR. SALEH & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DR. SALEH & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-535-5602
Mailing Address - Street 1:110 HOSPITAL RD.
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678
Mailing Address - Country:US
Mailing Address - Phone:410-535-5602
Mailing Address - Fax:410-535-2250
Practice Address - Street 1:110 HOSPITAL RD.
Practice Address - Street 2:SUITE 302
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678
Practice Address - Country:US
Practice Address - Phone:410-535-5602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00503972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
14846OtherBLUE CROSS BLUE SHIELD DC
MD264870000Medicaid
KFISOtherBLUE CROSS BLUE SHIELD MA
MDG78267Medicare UPIN
KFISOtherBLUE CROSS BLUE SHIELD MA