Individual
MS. SULTANA AYUBI SALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 24TH STREET, KENNER ARMY HEALTH CLINIC, FORT LEE, VA 23801-1720
(808) 734-9623
(804) 734-9188
Mailing address
11612 PARSONS WALK CT, GLEN ALLEN, VA 23059-8510
(804) 734-9623
(804) 734-9188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101036060
VA
Other
Enumeration date
08/12/2006
Last updated
12/19/2013
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