Salam, Gohar A

Salam, Gohar A is an sole proprietor health care provider with primary practice located at 11188 Diebold Rd , Fort Wayne IN 46845-9662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Ambulatory Health Care Facilities / Ambulatory Surgical. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Salam, Gohar A can be contacted via phone (260) 483-9500.

Contact Information

Primary practice address
11188 Diebold Rd Fort Wayne IN 46845-9662
Phone: (260) 483-9500
Fax: (260) 483-9511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01058885A Indiana
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 130127411 Indiana

Profile Details

NPI number 1285635334
LBN Legal business name Salam, Gohar A
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Mar 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285635334 NPPES
Indiana Other 7800696 AETNA
Indiana Other 000000364631 AETNA
Indiana Other 17842 AETNA
Indiana MEDICAID 200484720A AETNA

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