Provider Demographics
NPI:1770517385
Name:ALSALTI, MUSBAH (MD)
Entity type:Individual
Prefix:
First Name:MUSBAH
Middle Name:
Last Name:ALSALTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4629 WHITNEY AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821
Mailing Address - Country:US
Mailing Address - Phone:916-482-9800
Mailing Address - Fax:916-482-0537
Practice Address - Street 1:4629 WHITNEY AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821
Practice Address - Country:US
Practice Address - Phone:916-482-9800
Practice Address - Fax:916-482-0537
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC41145208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALC41145OtherSTATE LIC
CALC41145OtherSTATE LIC
A37535Medicare UPIN