Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 4301065968 | MI |
Y | 207R00000X | Internist | 4301065968 | MI |
Y | 111NI0900X | Internist | 4301065968 | MI |
N | 208000000X | Pediatrician | 4301065968 | MI |
NPI | 1174502975 |
---|---|
Provider Name | Mohammed A Saleem |
First Address | Saginaw, MI 48602-5303 |
Second Address | Davison, MI 48423-2276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 12/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4825010 | (05) | MI |
4825020 | (05) | MI |
4829931 | (05) | MI |
H04949 | (02) | MI |
MS065968 | BLUE CROSS BLUE SHIELD (01) |