Provider Demographics
NPI:1972991776
Name:SALAMA, FOUAD A (MD)
Entity Type:Individual
Prefix:
First Name:FOUAD
Middle Name:A
Last Name:SALAMA
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 1:31717 TEMECULA PKWY
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5869
Mailing Address - Country:US
Mailing Address - Phone:951-302-1888
Mailing Address - Fax:951-302-9888
Practice Address - Street 1:31717 TEMECULA PKWY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5869
Practice Address - Country:US
Practice Address - Phone:951-302-1888
Practice Address - Fax:951-302-9888
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50309207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine