Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 0103301108 | VA |
N | 222Z00000X | Podiatrist | 0103301108 | VA |
N | 213EP1101X | Primary Podiatric Medicine | 0103301108 | VA |
N | 213ES0103X | Foot & Ankle Surgery | 0103301108 | VA |
Y | 213ES0131X | Foot Surgery | 0103301108 | VA |
NPI | 1558681197 |
---|---|
Provider Name | Dr. Munjed Salem |
First Address | Chesapeake, VA 23322-8376 |
Second Address | Chesapeake, VA 23322-8376 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2010 |
Last Update Date | 18/04/2019 |