Individual
DR. GOHAR A SALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01058885A
IN
261QA1903X
Ambulatory Surgical Clinic/Center
130127411
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364631
ANTHEM
IN
01
—
17842
PHP
IN
05
—
200484720A
—
IN
01
—
7800696
AETNA
IN
Enumeration date
08/10/2005
Last updated
03/02/2016
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