Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 49914 | MN |
Y | 207RG0100X | Gastroenterologist | D74757 | MD |
N | 207RG0100X | Gastroenterologist | N6806 | TX |
NPI | 1023206794 |
---|---|
Provider Name | Saleh A Alqahtani |
First Address | Baltimore, MD 21264-4264 |
Second Address | Baltimore, MD 21287-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2007 |
Last Update Date | 18/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
059636100 | (05) | MD |
954932100 | (05) | MN |