Provider Demographics
NPI:1568458743
Name:SEYAL, M. SALEEM (M D)
Entity Type:Individual
Prefix:DR
First Name:M.
Middle Name:SALEEM
Last Name:SEYAL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:DR
Other - First Name:MUHAMMAD
Other - Middle Name:SALEEM
Other - Last Name:SEYAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1455 CEDAR ST STE D
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-7700
Mailing Address - Country:US
Mailing Address - Phone:812-725-1550
Mailing Address - Fax:
Practice Address - Street 1:1455 CEDAR ST STE D
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-7700
Practice Address - Country:US
Practice Address - Phone:812-725-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY22870207RC0000X
IN01033606A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100323570AMedicaid
KY64757578Medicaid
KY0282902Medicare ID - Type Unspecified
IND95407Medicare UPIN
KY64757578Medicaid