Provider Demographics
NPI:1982658480
Name:SALEEM, MAJID (MD)
Entity Type:Individual
Prefix:
First Name:MAJID
Middle Name:
Last Name:SALEEM
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 1:11220 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4492
Mailing Address - Country:US
Mailing Address - Phone:501-219-1114
Mailing Address - Fax:501-219-1115
Practice Address - Street 1:11220 EXECUTIVE CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211
Practice Address - Country:US
Practice Address - Phone:501-219-1114
Practice Address - Fax:501-219-1114
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4342207L00000X
ARE-4342208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE4342OtherTRICARE
ARP00278309OtherRAILROAD MEDICARE
AR06010018110OtherQUALCHOICE
AR158599001Medicaid
AR5N298OtherBLUE CROSS OF AR
ARP00350628OtherRAILROAD MEDICARE1
ARP00278309OtherRAILROAD MEDICARE
ARE4342OtherTRICARE