Individual
DR. CAROL SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G75788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G757880
—
CA
01
—
BN720X
MEDICARE PTAN FOR GHP
CA
Enumeration date
08/14/2006
Last updated
03/18/2020
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