Provider Demographics
NPI:1801873187
Name:SALGADO, JOSE H (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:H
Last Name:SALGADO
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 1:3801 BELLEMEADE AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-0113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3801 BELLEMEADE AVE STE 330
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0113
Practice Address - Country:US
Practice Address - Phone:812-485-1788
Practice Address - Fax:812-485-1714
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01042901A207RI0200X
KY64878531207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64878531Medicaid
IN100383620Medicaid
IN194680GMedicare PIN
04367929409OtherDONLEY & CO.
516139OtherHEALTHLINK
601182600OtherWCOM2G DEPT. OF LABOR
P00015847OtherRAILROAD MEDICARE
KY64878531Medicaid
065048OtherHEALTH ALLIANCE
F87298Medicare UPIN
IN000000245638OtherBCBS
KY1819301Medicare PIN