Provider Demographics
NPI:1710432828
Name:SALEH, DAHLIA (DO)
Entity Type:Individual
Prefix:DR
First Name:DAHLIA
Middle Name:
Last Name:SALEH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25487
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-2487
Mailing Address - Country:US
Mailing Address - Phone:941-202-5342
Mailing Address - Fax:855-253-4836
Practice Address - Street 1:4351 CORTEZ RD W STE 101
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-3215
Practice Address - Country:US
Practice Address - Phone:941-927-5178
Practice Address - Fax:941-921-6838
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101023726207N00000X
NC226043207N00000X
FLOS16484207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1NM2NOtherBCBS
FLMQ807OtherMEDICARE