Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD040686 | DC |
NPI | 1194036889 |
---|---|
Provider Name | Dr. Baheyeldin M Salem |
First Address | Minneapolis, MN 55416-4477 |
Second Address | Minneapolis, MN 55416-4477 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 09/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1194036889 | (05) | DC |