Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 7356 | SD |
NPI | 1013129865 |
---|---|
Provider Name | Salem N Maaliki |
First Address | Watertown, SD 57201-1548 |
Second Address | Watertown, SD 57201-1548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 13/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013129865 | (05) | SD |