Provider Demographics
NPI:1558550012
Name:SALAMEH AND ASSOC.
Entity Type:Organization
Organization Name:SALAMEH AND ASSOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAWAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-443-3534
Mailing Address - Street 1:792 N CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1026
Mailing Address - Country:US
Mailing Address - Phone:814-443-3534
Mailing Address - Fax:
Practice Address - Street 1:792 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1026
Practice Address - Country:US
Practice Address - Phone:814-443-3534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1502963OtherGATEWAY HEALTH PLAN
2109636OtherAETNA US HEALTHCARE
337139OtherHEALTH AMERICA
V02476OtherUPMC HEALTH PLAN
PA767846OtherHIGHMARK BLUE SHIELD