Provider Demographics
NPI:1366659591
Name:SALEH, EHAB S (MD)
Entity type:Individual
Prefix:
First Name:EHAB
Middle Name:S
Last Name:SALEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2830 ADDISON CIR N
Mailing Address - Street 2:
Mailing Address - City:OAKLAND TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4914
Mailing Address - Country:US
Mailing Address - Phone:804-539-7962
Mailing Address - Fax:
Practice Address - Street 1:26025 LAHSER RD FL 2
Practice Address - Street 2:MICHIGAN ORTHOPAEDIC INSTITUTE PC
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2606
Practice Address - Country:US
Practice Address - Phone:248-663-1900
Practice Address - Fax:248-663-1902
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40760207X00000X
VA116018135390200000X
MI4301109309207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FS0242999OtherDEA
1366659591OtherNPI