Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301008454 | MI |
N | 111NR0200X | Radiology | 2301008454 | MI |
N | 213ER0200X | Radiology | 2301008454 | MI |
N | 111NT0100X | Thermography | 2301008454 | MI |
NPI | 1407966104 |
---|---|
Provider Name | Rashad Saleh |
First Address | Detroit, MI 48209-2180 |
Second Address | Detroit, MI 48209-2180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 25/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4453846 | (05) | MI |
U95806 | (02) | MI |