Individual
HANY S SALAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8790 WATSON RD, SUITE 201, SAINT LOUIS, MO 63119-5140
(314) 543-2800
(314) 543-2801
Mailing address
8790 WATSON RD, SUITE 201, SAINT LOUIS, MO 63119-5140
(314) 543-2800
(314) 543-2801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105872
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229073
RR MCR
—
01
—
113912
BCBS
—
05
—
208890814
—
MO
01
—
6232830001
PTAN
MO
Enumeration date
10/10/2006
Last updated
06/23/2017
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