Individual provider · Type 1 NPI

Dima Sallam, MD

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1457035594 Active · reactivated Jun 25, 2024

Practice location

22250 Providence Dr Ste 301
Southfield, MI 48075-6211

Mailing address

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457035594

Dima Sallam, MD's National Provider Identifier is 1457035594, issued on Jun 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Dec 9, 2024.