Provider Demographics
NPI:1881680189
Name:ALANDARY, SALAH F (MD)
Entity Type:Individual
Prefix:
First Name:SALAH
Middle Name:F
Last Name:ALANDARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:SALAH
Other - Middle Name:F
Other - Last Name:ALANDARY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1345 W BAY DR
Mailing Address - Street 2:STE 205
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2276
Mailing Address - Country:US
Mailing Address - Phone:727-441-4526
Mailing Address - Fax:727-266-4590
Practice Address - Street 1:1345 W BAY DR STE 205
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2276
Practice Address - Country:US
Practice Address - Phone:727-441-4526
Practice Address - Fax:727-266-4590
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073452207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLW9772OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL252165200Medicaid
FL252165200Medicaid