Individual
SALIM GHULAM CONTRACTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
69 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 822-8484
(518) 822-9335
Mailing address
69 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 822-8484
(518) 822-9335
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
180765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605912
—
NY
01
—
P00865490
RAILROAD MEDICARE
NY
Enumeration date
11/21/2006
Last updated
03/19/2019
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