Individual
DR. MUBADDA A SALIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 KOPPERS ST, SUITE #155, BALTIMORE, MD 21227-1019
(410) 644-0550
(410) 644-0533
Mailing address
3700 KOPPERS ST, SUITE #155, BALTIMORE, MD 21227-1019
(410) 644-0550
(410) 644-0533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101246900
VA
174400000X
Specialist
Primary
D0040310
MD
2080P0202X
Pediatric Cardiology Physician
0101246900
VA
2080P0202X
Pediatric Cardiology Physician
D0040310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164467288
—
VA
05
—
161461400
—
MD
Enumeration date
06/20/2006
Last updated
12/08/2012
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