Individual
DR. SUHAIL BAKR SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18350 ROSCOE BLVD STE 702, NORTHRIDGE, CA 91325-4109
(818) 280-5961
(818) 280-5983
Mailing address
12035 WILSHIRE BLVD APT 518, LOS ANGELES, CA 90025-1278
(312) 404-5440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.053739
IL
207RG0100X
Gastroenterology Physician
25MA09672100
NJ
207RG0100X
Gastroenterology Physician
Primary
A154968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470781
—
NJ
Enumeration date
08/05/2008
Last updated
12/08/2020
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