Salloum, Fadi

Salloum, Fadi is an individual health care provider with primary practice located at 50 N Perry St , Pontiac MI 48342-2217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Salloum, Fadi can be contacted via phone (248) 338-5516.

Contact Information

Primary practice address
50 N Perry St Pontiac MI 48342-2217
Phone: (248) 338-5516
Fax: (248) 338-5547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301065435 Michigan

Profile Details

NPI number 1205874831
LBN Legal business name Salloum, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 15th, 2010 - about 14 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 1205874831 NPPES
Michigan Other FS065435 BCBS
Michigan Other P102773 BCBS
Michigan Other 10117120003 BCBS
Michigan MEDICAID 347943610 BCBS
Michigan Other 4537 BCBS
Michigan Other 110174571 BCBS

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