Individual
SALMAN MASEEH HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
(765) 446-7023
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01045312A
IN
207Q00000X
Family Medicine Physician
01045312A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076434
ANTHEM UC PROVIDER NUMBE
IN
01
—
000000341037
ANTHEM FP PROVIDER NUMBER
IN
01
—
10825306
CAQH NUMBER
IN
05
—
200196040
—
IN
01
—
9397174
PHCS PID NUMBER
IN
Enumeration date
03/14/2006
Last updated
01/14/2021
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