Provider Demographics
NPI:1619278157
Name:SALMAN WAHID, M.D., LLC
Entity Type:Organization
Organization Name:SALMAN WAHID, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-379-6479
Mailing Address - Street 1:1100 WILCOX CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-6837
Mailing Address - Country:US
Mailing Address - Phone:240-379-6479
Mailing Address - Fax:240-379-6447
Practice Address - Street 1:65 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE A
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4371
Practice Address - Country:US
Practice Address - Phone:240-379-6479
Practice Address - Fax:240-379-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00687682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1417920109OtherINDIVIDUAL NPI
MD1471110 00Medicaid