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Individual
DR. BASMAN ABDEL SALOUS
Active
Individual
DR. BASMAN ABDEL SALOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085201
BCBS BMG MAIN STREET
IN
01
—
000000085202
BCBS BMG IRELAND RD MED POINT
IN
01
—
000000111141
BCBS BMG PORTAGE RD
IN
01
—
000000195021
BCBS BMG E BLAIR WARNER
IN
01
—
000000314664
BCBS BMG IRELAND RD
IN
05
—
200042370
—
IN
Enumeration date
11/29/2005
Last updated
05/01/2023
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