Provider Demographics
NPI:1013974856
Name:SALIBA, WALID I (MD)
Entity type:Individual
Prefix:
First Name:WALID
Middle Name:I
Last Name:SALIBA
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 1:9500 EUCLID AVE # J2-2
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0002
Mailing Address - Country:US
Mailing Address - Phone:216-444-6811
Mailing Address - Fax:216-636-6950
Practice Address - Street 1:9500 EUCLID AVE # J2-2
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1704
Practice Address - Country:US
Practice Address - Phone:216-444-6810
Practice Address - Fax:216-636-6950
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35073905207RC0000X
OH35-073905207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2166212Medicaid
OH2166212Medicaid