Provider Demographics
NPI:1952692857
Name:SALEH, OUSSAMA AHMAD (MD / MS)
Entity Type:Individual
Prefix:
First Name:OUSSAMA
Middle Name:AHMAD
Last Name:SALEH
Suffix:
Gender:M
Credentials:MD / MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 SPRING FOREST RD
Mailing Address - Street 2:E6
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4986
Mailing Address - Country:US
Mailing Address - Phone:919-491-4340
Mailing Address - Fax:
Practice Address - Street 1:1025 SPRING FOREST RD
Practice Address - Street 2:E6
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4986
Practice Address - Country:US
Practice Address - Phone:919-491-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2015-01877207VM0101X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCP802A576Medicare PIN