SELAM MEDICAL SERVICE LLC NPI 1982930517

NPI Information

NPI: 1982930517
Provider Name: SELAM MEDICAL SERVICE LLC
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1328 SOUTHERN AVE SE
SUITE 205
WASHINGTON, DC
ZIP 20032
Phone: (202) 544-7744
Get Directions

SELAM MEDICAL SERVICE LLC is an adolescent medicine internal medicine in Washington, DC. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. SELAM MEDICAL SERVICE LLC NPI is 1982930517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1328 SOUTHERN AVE SE
SUITE 205
WASHINGTON, DC
ZIP 20032-689
Phone: (202) 544-7744

The provider's authorized official is Russom Bariaghaber Ghebrai .
The authorized official title is Sole Mbr and has the following contact phone number (301) 502-6912.

The enumeration date for this NPI number is 11/2/2009 and was last updated on 11/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine	MD035237	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	148485	MEDICARE PIN	DISTRICT OF COLUMBIA
2	059550700	MEDICAID	DISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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