Provider Demographics
NPI:1184427585
Name:SALAMI, IDAYAT OLAIDE (MD)
Entity type:Individual
Prefix:
First Name:IDAYAT
Middle Name:OLAIDE
Last Name:SALAMI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 JUDSON ST
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-1116
Mailing Address - Country:US
Mailing Address - Phone:508-818-3629
Mailing Address - Fax:
Practice Address - Street 1:849 JUDSON ST
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-1116
Practice Address - Country:US
Practice Address - Phone:508-818-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP133946207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine