Individual
DR. VICTOR SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 N. CYPRESS, WICHITA, KS 67226-4003
(316) 440-1010
(316) 440-0802
Mailing address
3009 N. CYPRESS, WICHITA, KS 67226-4003
(316) 440-1010
(316) 440-0802
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
04-31828
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0431828
KS
207RP1001X
Pulmonary Disease Physician
Primary
04-31828
KS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
04-31828
KS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0431828
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200088530A
—
OK
05
—
200400340L
—
KS
Enumeration date
05/11/2006
Last updated
10/15/2020
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