Provider Demographics
NPI:1912229451
Name:ELDOHIRI, SALAH ELDIN ELSAID (MD)
Entity type:Individual
Prefix:
First Name:SALAH ELDIN
Middle Name:ELSAID
Last Name:ELDOHIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4800 S SAGINAW ST STE 1815
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2677
Mailing Address - Country:US
Mailing Address - Phone:810-275-9152
Mailing Address - Fax:810-213-0228
Practice Address - Street 1:4800 S SAGINAW ST STE 1815
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2677
Practice Address - Country:US
Practice Address - Phone:810-275-9152
Practice Address - Fax:810-213-0228
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301091833207LP2900X, 207LP2900X
PAMD421042207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301091833OtherMICHIGAN MEDICAL NUMBER
MI1912229451Medicaid
MI1912229451Medicaid
MI1912229451Medicaid