Ishak, Salam Ghanim

Ishak, Salam Ghanim is an individual health care provider with primary practice located at 3660 Park Sierra Dr Suite 208, Riverside CA 92505-3081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ishak, Salam Ghanim can be contacted via phone (951) 687-2800.

Contact Information

Primary practice address
3660 Park Sierra Dr Suite 208 Riverside CA 92505-3081
Phone: (951) 687-2800
Fax: (951) 687-7290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C51301 California

Profile Details

NPI number 1427152842
LBN Legal business name Ishak, Salam Ghanim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 29th, 2021 - about 3 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 1427152842 NPPES
California MEDICAID 00C513010

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