Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 48875 | KY |
N | 111NI0900X | Internist | 48875 | KY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | Q4370 | TX |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD198943 | OR |
N | 207RC0000X | Internist - Cardiovascular Disease | Q4270 | TX |
NPI | 1205194826 |
---|---|
Provider Name | Dr. Benjamin C. Salgado |
First Address | Medford, OR 97504-4314 |
Second Address | Medford, OR 97504-4314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2012 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500780454 | (05) | OR |