Organization
IBRAHIM IM SALIH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM I.M. SALIH (OWNER)
(301) 817-3001
Entity
Organization
Contact information
Practice address
7610 PENNSYLVANIA AVE, SUITE 200, DISTRICT HEIGHTS, MD 20747
(301) 817-3001
(301) 817-3005
Mailing address
PO BOX 10369, SILVER SPRING, MD 20914-0369
(301) 817-3001
(301) 817-3005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0042461
MD
261QP2300X
Primary Care Clinic/Center
D0042461
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043341100
—
MD
01
—
508449
MEDICARE PROVIDER NUMBER
MD
Enumeration date
07/28/2010
Last updated
01/19/2023
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