Salem, Anad K
Salem, Anad K is an sole proprietor health care provider with primary practice located at 207 W Jackson St Suite 201, Carbondale IL 62901-1408. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Salem, Anad K can be contacted via phone (618) 457-2963.Contact Information
Primary practice address
207 W Jackson St Suite 201
Carbondale IL 62901-1408
Phone: (618) 457-2963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036094228 | Illinois |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 036094228 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036094228 | Illinois |
Profile Details
| NPI number | 1659366839 |
|---|---|
| LBN Legal business name | Salem, Anad K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jun 8th, 2021 - about 4 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 | 1659366839 | NPPES |
| Illinois | Other | 03918782 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036094228 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | P00386496 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 331692 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | K27657 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | L61655 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 031261 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 080120671 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 256510 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 213567 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 214881054 | BLUE CROSS BLUE SHIELD |
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