Provider Demographics
NPI:1609513555
Name:AHMED, SALMA (DC)
Entity Type:Individual
Prefix:DR
First Name:SALMA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2191
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-8191
Mailing Address - Country:US
Mailing Address - Phone:727-967-4131
Mailing Address - Fax:
Practice Address - Street 1:87-2070 FARRINGTON HWY # B4
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3757
Practice Address - Country:US
Practice Address - Phone:727-967-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1517-0111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor