Provider Demographics
NPI:1700048840
Name:SALEH, NERMINE ANWAR (MD)
Entity Type:Individual
Prefix:
First Name:NERMINE
Middle Name:ANWAR
Last Name:SALEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9851 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-4559
Mailing Address - Country:US
Mailing Address - Phone:804-893-8702
Mailing Address - Fax:804-261-2160
Practice Address - Street 1:9851 BROOK RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-4559
Practice Address - Country:US
Practice Address - Phone:804-893-8702
Practice Address - Fax:804-261-2160
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245982207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine