Provider Demographics
NPI:1679513980
Name:SALAHUDDIN, FAWZIA (MD, MHS-CL, FACP)
Entity Type:Individual
Prefix:DR
First Name:FAWZIA
Middle Name:
Last Name:SALAHUDDIN
Suffix:
Gender:F
Credentials:MD, MHS-CL, FACP
Other - Prefix:DR
Other - First Name:FAWZIA
Other - Middle Name:KHATOON
Other - Last Name:SALAHUDDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MHS-CL, FACP
Mailing Address - Street 1:SLEEP MEDICINE.1 UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2227
Practice Address - Country:US
Practice Address - Phone:276-236-8181
Practice Address - Fax:540-236-1715
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101265964207P00000X, 207R00000X
NC2003-00284207P00000X, 207R00000X
NMMD2019-0295390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program