Basic Information
Provider Information
NPI: 1467427740
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALAMAT
FirstName: MUHAMMAD
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1414 SW 8TH AVE
Address2:  
City: TOPEKA
State: KS
PostalCode: 666061535
CountryCode: US
TelephoneNumber: 7853545300
FaxNumber: 7853545309
Practice Location
Address1: 1414 SW 8TH AVE
Address2:  
City: TOPEKA
State: KS
PostalCode: 666061535
CountryCode: US
TelephoneNumber: 7853545300
FaxNumber: 7853545309
Other Information
ProviderEnumerationDate: 02/21/2006
LastUpdateDate: 02/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X04-33548KSY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
146742774005MO MEDICAID
06800220401KSMEDICARE PTANOTHER
200588960C05KS MEDICAID
200588960 A05KS MEDICAID
200588960B05KS MEDICAID
200588960K05KS MEDICAID


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