Provider Demographics
NPI:1760467419
Name:SALIM, MUHAMMAD M (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:M
Last Name:SALIM
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:PO BOX 6279
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6279
Mailing Address - Country:US
Mailing Address - Phone:480-821-0129
Mailing Address - Fax:480-821-0193
Practice Address - Street 1:255 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6231
Practice Address - Country:US
Practice Address - Phone:480-821-0129
Practice Address - Fax:480-821-0193
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24008207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0779420OtherBCBS AZ # SLEEP LAB
AZ34498702Medicaid
74-2800585OtherTAX ID #
AZAZ0725910OtherOFFICE BCBS AZ #
AZ34498702Medicaid
AZAZ0725910OtherOFFICE BCBS AZ #
AZ71332Medicare ID - Type UnspecifiedMM SALIM OFFICE