Individual
ALI SALIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
(904) 805-1302
Mailing address
PO BOX 758705, BALTIMORE, MD 21275-0001
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35078190
OH
207R00000X
Internal Medicine Physician
Primary
35078190
OH
2084P0800X
Psychiatry Physician
35078190
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000475287
BLUE SHIELD
OH
05
—
2125515
—
OH
Enumeration date
07/25/2006
Last updated
09/11/2025
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