Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301109841 | MI |
N | 111NI0900X | Internist | 4301109841 | MI |
N | 207R00000X | Internist | MD449250 | PA |
N | 111NI0900X | Internist | MD449250 | PA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 83664 | SC |
NPI | 1013229756 |
---|---|
Provider Name | Murad Abdelsalam |
First Address | Rock Hill, SC 29732-1174 |
Second Address | Rock Hill, SC 29732-1174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2010 |
Last Update Date | 21/05/2021 |