DR. FADI SALLOUM (NPI# 1205874831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205874831 |
| Entity Type | Individual |
| Full Name | DR. FADI SALLOUM |
| Credential | MD |
| Practice Address |
50 N Perry St Pontiac MI 48342-2217 |
| Practice Telephone | 2483385516 |
| Practice Fax Number | 2483385547 |
| Mailing Telephone | 2483385516 |
| Mailing Fax Number | 2483385547 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301065435 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | FS065435 | 01 |
| MI | BCN | P102773 | 01 |
| MI | 347943610 | 05 | |
| MI | RAILROAD | 110174571 | 01 |
| MI | CAPE | 4537 | 01 |
| MI | WELLNESS | 10117120003 | 01 |
| Street Address |
50 N PERRY ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890856 | Matthew Swayze | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| 1962000539 | Belinda Becker | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-10-15 |
| 1336765486 | Mikita Patel | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-24 |
| 1306461264 | Brandon Knight | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1295350122 | Stephanie Schwartz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1437774833 | Cailyn D'haem | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-11 |
| 1790300358 | Sara F Iqbal | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1053936617 | Bodrie J Jensen | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1033734694 | Neal R Krentz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1154946713 | Gurkirat Jawanda | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702719 | Jasmeet Ricky Garcha | Internal Medicine | 44405 Woodward Ave Dept Of, Pontiac, MI 48341-5023 | 2019-04-03 |
| 1861995813 | Ahmed Alqaysi | Internal Medicine | 44405 Woodward Ave # H23, Pontiac, MI 48341-5023 | 2018-03-16 |
| 1144757949 | Israa Oday Ghanim Al-gburi | Internal Medicine | 44405 Woodward Ave, H-23, St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2017-05-11 |
| 1558744920 | Aneeqa Dar | Internal Medicine | 830 Golf Dr, Appt 202, Pontiac, MI 48341-2380 | 2015-07-02 |
| 1689056434 | Kedareeshwar Sanjay Arukala | Internal Medicine | 44405 Woodward Ave # H-23, Pontiac, MI 48341-5023 | 2015-06-28 |
| 1376885087 | Orthopedic PC | Internal Medicine | 35 S Johnson St Ste 3f, Pontiac, MI 48341-1662 | 2013-03-20 |
| 1578869707 | Andrew Henry Tilden | Internal Medicine | 700 W Lincoln St, Pontiac, IL 61764-2323 | 2011-02-05 |
| 1598788176 | Lawrence J Cowsill | Internal Medicine | 950 University Dr, Pontiac, MI 48342-1865 | 2006-07-25 |
| 1760443600 | Robert Melvin Phillips Jr. | Internal Medicine | 35 South Johnson Street, Suite 1b, Pontiac, MI 48341 | 2006-03-30 |
| 1649262080 | Kay Alexa Robertson | Internal Medicine | 44200 Woodward Ave, Suite 205, Pontiac, MI 48341-5045 | 2005-08-22 |
| Find all providers in PONTIAC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.