Individual
DR. SALMAN SHIRAZHUSSEIN FIDAHUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 DOCTORS DR, LAGRANGE, GA 30240-4139
(706) 880-7222
(706) 880-7223
Mailing address
1551 DOCTORS DR, LAGRANGE, GA 30240-4139
(706) 880-7222
(706) 880-7223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051439
CT
207R00000X
Internal Medicine Physician
105563
MN
207R00000X
Internal Medicine Physician
54415
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
73741
GA
207RP1001X
Pulmonary Disease Physician
73471
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
WI
01
—
P01021732
RAIL ROAD - MEDICARE
MN
Enumeration date
06/15/2008
Last updated
10/03/2019
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