Syed, Salam

Syed, Salam is an individual health care provider with primary practice located at 210 N Main St Ste 103 , Deforest WI 53532-1163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Syed, Salam can be contacted via phone (414) 873-9800.

Contact Information

Primary practice address
210 N Main St Ste 103 Deforest WI 53532-1163
Phone: (414) 873-9800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 53833 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 53833 Wisconsin

Profile Details

NPI number 1669666731
LBN Legal business name Syed, Salam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Dec 6th, 2023 - about 2 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 1669666731 NPPES
Wisconsin MEDICAID 1669666731

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