Provider Demographics
NPI:1356359905
Name:ABU-SALIH, MAJDI M (MD)
Entity type:Individual
Prefix:
First Name:MAJDI
Middle Name:M
Last Name:ABU-SALIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MAJDI
Other - Middle Name:M
Other - Last Name:SALIH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8040 CLEARVISTA PKWY
Practice Address - Street 2:SUITE 460
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-5630
Practice Address - Country:US
Practice Address - Phone:317-621-2660
Practice Address - Fax:317-621-1535
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069479A208000000X, 2080P0206X
WI37692208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32227600Medicaid
IN000000711473OtherANTHEM
IN000000764371OtherANTHEM
IN201028600Medicare PIN
IN000000711473OtherANTHEM
G32127Medicare UPIN
INM400072761Medicare PIN
WI011667010Medicare PIN
WI011667010Medicare PIN