Individual
ELSAYED SALEM ABO-SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD STE 204, SAINT LOUIS, MO 63136-6188
(314) 839-5522
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 268-7992
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
036143069
IL
207RI0011X
Interventional Cardiology Physician
Primary
2016023781
MO
207RI0011X
Interventional Cardiology Physician
35129185
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241274
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
07/14/2009
Last updated
04/01/2022
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