Provider Demographics
NPI:1043267826
Name:SALIH, SALWA MOHAMED (MD)
Entity type:Individual
Prefix:DR
First Name:SALWA
Middle Name:MOHAMED
Last Name:SALIH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 BREMO ROAD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1907
Mailing Address - Country:US
Mailing Address - Phone:804-285-0620
Mailing Address - Fax:804-285-0726
Practice Address - Street 1:5801 BREMO ROAD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-285-0620
Practice Address - Fax:804-285-0726
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18755207P00000X
VA0101227276207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001720571OtherBCBS
WV0079599000Medicaid
WV110164608OtherRAILROAD MEDICARE
VA010218853Medicaid
WV001720571OtherBCBS
VA010218853Medicaid
WV110164608OtherRAILROAD MEDICARE
G66426Medicare UPIN
WVSA0844162Medicare PIN