Individual
SALEM VILAYET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0001
(814) 877-4922
(814) 877-3622
Mailing address
201 STATE ST, ERIE, PA 16550-0001
(814) 877-4922
(814) 877-3622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01079566A
IN
207R00000X
Internal Medicine Physician
MD489739
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD489739
PA
207RN0300X
Nephrology Physician
MD489739
PA
Other
Enumeration date
06/25/2014
Last updated
06/25/2025
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