Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101052651 | VA |
Y | 111NI0900X | Internist | 0101052651 | VA |
NPI | 1003807496 |
---|---|
Provider Name | Dr. Adel M Salama |
First Address | Roanoke, VA 24016-4724 |
Second Address | Roanoke, VA 24016-4724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 08/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G09448 | (02) |