Provider Demographics
NPI:1790772556
Name:SALMAN, HUDA (MD)
Entity Type:Individual
Prefix:
First Name:HUDA
Middle Name:
Last Name:SALMAN
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:PO BOX 1554
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0988
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:631-638-4170
Practice Address - Street 1:HSC T15 040
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8151
Practice Address - Country:US
Practice Address - Phone:631-638-0910
Practice Address - Fax:631-638-0915
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD40070207RH0003X
OH35-093834207RH0003X
VA0101250881207RH0003X
NY280386207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2966812Medicaid
OHSA4265601Medicare PIN
OHP00792990Medicare PIN