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Individual

DR. THAJU SALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Mailing address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-29600
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060068255
RAILROAD MEDICARE
KS
05
100420730A
KS
01
102154
BCBS KANSAS
KS
Enumeration date
03/22/2006
Last updated
09/03/2025
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