Individual
DR. IRFANA KHAN-SALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433
(985) 898-4194
Mailing address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.15306R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194930
—
LA
Enumeration date
05/05/2006
Last updated
08/02/2018
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