Individual
HANY S SALAMA
Active
Individual
HANY S SALAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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