Provider Demographics
NPI:1639366024
Name:HANI I. SALIB, M.D.
Entity Type:Organization
Organization Name:HANI I. SALIB, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HANI
Authorized Official - Middle Name:I
Authorized Official - Last Name:SALIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-322-5184
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45331207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E64949Medicare UPIN
ZZZ32281ZMedicare PIN