Provider Demographics
NPI:1316936222
Name:MALAD, SALMAN (MD)
Entity type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:
Last Name:MALAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 E HUNT DR STE H-J
Mailing Address - Street 2:
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901-7954
Mailing Address - Country:US
Mailing Address - Phone:928-537-6937
Mailing Address - Fax:928-532-8798
Practice Address - Street 1:2500 E HUNT DR STE H-J
Practice Address - Street 2:
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-7954
Practice Address - Country:US
Practice Address - Phone:928-537-6937
Practice Address - Fax:928-532-8798
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41967207RX0202X
LAMD.15833R207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4160095OtherBLUE CROSS
LA1053635Medicaid
AZ087281Medicaid
TN3000540Medicaid
P00444174OtherMEDICARE RAILROAD
LA1053635Medicaid