Individual
DR. NELLY N SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092760
MI
2085R0202X
Diagnostic Radiology Physician
35.121297
OH
2085R0202X
Diagnostic Radiology Physician
Primary
A119378
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085025
—
OH
Enumeration date
08/12/2008
Last updated
08/14/2018
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