Provider Demographics
NPI:1295722916
Name:SALEH, SALEH MUSLAH (MD)
Entity type:Individual
Prefix:
First Name:SALEH
Middle Name:MUSLAH
Last Name:SALEH
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:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-0150
Mailing Address - Country:US
Mailing Address - Phone:313-945-0075
Mailing Address - Fax:313-899-7099
Practice Address - Street 1:4132 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3683
Practice Address - Country:US
Practice Address - Phone:313-849-3100
Practice Address - Fax:855-332-1396
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052435207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
E77778Medicare UPIN
MI0P31320001Medicare ID - Type Unspecified