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Individual

DR. HANY SAMIR SALAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
356 COPPERFIELD LN, HERNDON, VA 20170-5310
(703) 904-0842

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102050103
VA
207L00000X
Anesthesiology Physician
1711
WV
207L00000X
Anesthesiology Physician
8191
OH
207L00000X
Anesthesiology Physician
H0051867
MD
207L00000X
Anesthesiology Physician
MB061288
NJ
207L00000X
Anesthesiology Physician
MD30801
DC
207L00000X
Anesthesiology Physician
Primary
S9989
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103990
ANTHEM VA
VA
01
P00417574
RAILROAD MEDICARE PTAN
MD
Enumeration date
12/11/2006
Last updated
07/08/2022
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