Provider Demographics
NPI:1518014604
Name:SALIBAY, MARIA DOLORES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DOLORES
Last Name:SALIBAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DOLORES
Other - Middle Name:
Other - Last Name:SALIBAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:917 MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2325
Mailing Address - Country:US
Mailing Address - Phone:931-723-8839
Mailing Address - Fax:931-723-1456
Practice Address - Street 1:917 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2325
Practice Address - Country:US
Practice Address - Phone:931-723-8839
Practice Address - Fax:931-723-1456
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN372412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6215869363OtherTAX ID #
TN3881415Medicare PIN
TN6215869363OtherTAX ID #