Individual
SALAM GHANIM ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3660 PARK SIERRA DR, SUITE 208, RIVERSIDE, CA 92505-3081
(951) 687-2800
(951) 687-7290
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-8923
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C51301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C513010
—
CA
Enumeration date
09/08/2006
Last updated
07/29/2021
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