Provider Demographics
NPI:1851477392
Name:SALKINI, TAREK (MD)
Entity Type:Individual
Prefix:
First Name:TAREK
Middle Name:
Last Name:SALKINI
Suffix:
Gender:M
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 10658
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21285-0658
Mailing Address - Country:US
Mailing Address - Phone:410-339-3490
Mailing Address - Fax:410-339-3483
Practice Address - Street 1:7600 OSLER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7735
Practice Address - Country:US
Practice Address - Phone:410-339-3490
Practice Address - Fax:410-339-3483
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052628207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2127636OtherMARYLAND HEALTH PLANS
MD169410300Medicaid
MD5806757OtherAETNA PPO
MD1820OtherELDERHEALTH
DCG8380001OtherCAREFIRST OF NCA
MD0S64OtherCAREFIRST OF MARYLAND
MD001870590OtherUNITED HEALTHCARE
MD2882043OtherAETNA HMO
MD956RMedicare PIN
MD2127636OtherMARYLAND HEALTH PLANS
MD001870590OtherUNITED HEALTHCARE