Provider Demographics
NPI:1538663893
Name:ALIU-IBRAHIM, SALAMAT AHUOIZA (MD)
Entity type:Individual
Prefix:
First Name:SALAMAT
Middle Name:AHUOIZA
Last Name:ALIU-IBRAHIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SALAMAT
Other - Middle Name:AHUOIZA
Other - Last Name:ALIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1102 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-3503
Mailing Address - Country:US
Mailing Address - Phone:417-347-3773
Mailing Address - Fax:417-825-3372
Practice Address - Street 1:1102 W 32ND ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3503
Practice Address - Country:US
Practice Address - Phone:417-347-3773
Practice Address - Fax:417-825-3372
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10079473208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics