Provider Demographics
NPI:1639792310
Name:GEHAN, SALSABIL EBRAHIM (BS, BA)
Entity Type:Individual
Prefix:MRS
First Name:SALSABIL
Middle Name:EBRAHIM
Last Name:GEHAN
Suffix:
Gender:F
Credentials:BS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 GRANDVIEW AVE APT 508
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1161
Mailing Address - Country:US
Mailing Address - Phone:714-325-0555
Mailing Address - Fax:
Practice Address - Street 1:100 N BELLEFIELD AVE STE 6
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2600
Practice Address - Country:US
Practice Address - Phone:412-647-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker