Salim, Mubadda A
Salim, Mubadda A is an sole proprietor health care provider with primary practice located at 3700 Koppers St Suite #155, Baltimore MD 21227-1019. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Other Service Providers / Specialist is his primary health care specialty. Salim, Mubadda A can be contacted via phone (410) 644-0550.Contact Information
Primary practice address
3700 Koppers St Suite #155
Baltimore MD 21227-1019
Phone: (410) 644-0550
Fax: (410) 644-0533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0040310 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | D0040310 | Maryland |
| Other Service Providers / Specialist | 174400000X | 0101246900 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 0101246900 | Virginia |
Profile Details
| NPI number | 1164467288 |
|---|---|
| LBN Legal business name | Salim, Mubadda A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Dec 8th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164467288 | NPPES |
| Maryland | MEDICAID | 161461400 | |
| Maryland | MEDICAID | 1164467288 |
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