Provider Demographics
NPI:1629279682
Name:SALEEM, ATIF (MD)
Entity type:Individual
Prefix:
First Name:ATIF
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 1:4287 HICKORY GROVE LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3214
Mailing Address - Country:US
Mailing Address - Phone:319-427-1791
Mailing Address - Fax:
Practice Address - Street 1:500 SUPERIOR AVE STE 100
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3660
Practice Address - Country:US
Practice Address - Phone:319-427-1791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48122208M00000X
VA0101243414208M00000X, 207R00000X
CAC202174207RG0100X
FLME119426207RG0100X
TXS9058207R00000X, 207RG0100X
NY280215207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100048680Medicaid
FL012095400Medicaid
FL012095400Medicaid
KY7100048680Medicaid
VAMC11184Medicare PIN
FLHV352ZMedicare PIN
VAP00677375Medicare PIN