Basic Information
Provider Information
NPI: 1588829337
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALIM
FirstName: NAUMAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13692 W HILLSBOROUGH AVE
Address2:  
City: TAMPA
State: FL
PostalCode: 336359638
CountryCode: US
TelephoneNumber: 3178473669
FaxNumber: 8133245680
Practice Location
Address1: 13692 W HILLSBOROUGH AVE
Address2:  
City: TAMPA
State: FL
PostalCode: 336359638
CountryCode: US
TelephoneNumber: 8132522375
FaxNumber: 8133245680
Other Information
ProviderEnumerationDate: 07/22/2008
LastUpdateDate: 12/21/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207K00000XME112438FLY Allopathic & Osteopathic PhysiciansAllergy & Immunology 
207R00000XME112438FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000XME112438FLN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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