Provider Demographics
NPI:1629065925
Name:SALIB, HANI I (MD)
Entity Type:Individual
Prefix:
First Name:HANI
Middle Name:I
Last Name:SALIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1401 N PALM CANYON DR
Mailing Address - Street 2:# 102
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4434
Mailing Address - Country:US
Mailing Address - Phone:760-322-5184
Mailing Address - Fax:760-322-3496
Practice Address - Street 1:1401 N PALM CANYON DR
Practice Address - Street 2:# 102
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4434
Practice Address - Country:US
Practice Address - Phone:760-322-5184
Practice Address - Fax:760-322-3496
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-02
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA45331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45331OtherCA STATE LICENSE NUMBER
ZZZ32281ZMedicare PIN