Provider Demographics
NPI:1154437457
Name:KAZIM, SALMAN (MD)
Entity type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:
Last Name:KAZIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 N DIVISION ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1900
Mailing Address - Country:US
Mailing Address - Phone:443-955-6244
Mailing Address - Fax:
Practice Address - Street 1:3131 N DIVISION ST STE 201
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1900
Practice Address - Country:US
Practice Address - Phone:443-955-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010568392084P0800X
IL0361478812084P0800X
GA853332084P0800X
MN642612084P0800X
CT0347832084P0800X
WAMD607313412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG69539Medicare UPIN