Organization
METROPOLITAN PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAIL DIRGHAM SALAHI DO (PRESIDENT)
(904) 296-3611
Entity
Organization
Contact information
Practice address
4063 SALISBURY ROAD NORTH, SUITE 206, JACKSONVILLE, FL 32216
(904) 296-3611
(904) 296-3617
Mailing address
4063 SALISBURY ROAD NORTH, SUITE 206, JACKSONVILLE, FL 32216
(904) 296-3611
(904) 296-3617
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS6845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271598
AVMED
FL
01
—
5121707
AETNA
FL
01
—
52667803002
BCBS OF GEORGIA
GA
01
—
OS6845
WORKERS COMPENSATION
FL
Enumeration date
04/25/2006
Last updated
08/22/2020
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