Provider Demographics
NPI:1851647390
Name:SALAMEH, MUWAFFAQ (MD)
Entity Type:Individual
Prefix:DR
First Name:MUWAFFAQ
Middle Name:
Last Name:SALAMEH
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 1:23 HARBOURVIEW DR, BOX 14
Mailing Address - Street 2:
Mailing Address - City:ANTIGONISH
Mailing Address - State:NS
Mailing Address - Zip Code:B2G0A9
Mailing Address - Country:CA
Mailing Address - Phone:902-872-1316
Mailing Address - Fax:
Practice Address - Street 1:4818 W PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2844
Practice Address - Country:US
Practice Address - Phone:989-667-8872
Practice Address - Fax:989-686-8514
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301101791207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology