Individual
MRS. ANN KELLEY SALAHUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 N BRENT ST STE 302, VENTURA, CA 93003-2840
(805) 652-6373
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G58702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G587020
—
CA
01
—
5628497
NCPDP/NPDS
CA
01
—
830001988
RAILROAD MEDICARE
—
Enumeration date
06/05/2006
Last updated
05/07/2018
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