1851477392 NPI number — TAREK SALKINI M.D.

Table of content: TAREK SALKINI M.D. (NPI 1851477392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851477392 NPI number — TAREK SALKINI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALKINI
Provider First Name:
TAREK
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851477392
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10658
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21285-0658
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-339-3490
Provider Business Mailing Address Fax Number:
410-339-3483

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7600 OSLER DR
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-7735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-339-3490
Provider Business Practice Location Address Fax Number:
410-339-3483
Provider Enumeration Date:
10/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  D0052628 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2127636 . This is a "MARYLAND HEALTH PLANS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 169410300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5806757 . This is a "AETNA PPO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1820 . This is a "ELDERHEALTH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: G8380001 . This is a "CAREFIRST OF NCA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 0S64 . This is a "CAREFIRST OF MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 001870590 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2882043 . This is a "AETNA HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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