Individual
MOHAMMAD TAYSEER ABDUL-FATTAH SALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3330
(515) 643-8839
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 247-3330
(515) 643-8839
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD-52612
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2019
Last updated
07/18/2024
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