SALEM VILAYET

BLOOMINGTON, IN
NPI1487069779
Former NameSALEM MOHAMMAD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01079566A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: VA  0101264712)
207R00000X Internal Medicine
(Licence: MA  270804)
208M00000X Hospitalist
(Licence: VA  0101264712)
Enumeration Date2014-06-25
Last Update Date2022-10-17
Business Address
SALEM VILAYET M.D.
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-676-4102
Mailing Address
SALEM VILAYET M.D.
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-676-4102