Provider Demographics
NPI:1285166884
Name:KHALIQDINA, SALMAN ALI JEHANGIR (MBBS)
Entity type:Individual
Prefix:
First Name:SALMAN ALI JEHANGIR
Middle Name:
Last Name:KHALIQDINA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:SALMAN
Other - Middle Name:
Other - Last Name:KHALIQDINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:395 W 12TH AVE
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1267
Mailing Address - Country:US
Mailing Address - Phone:614-293-3989
Mailing Address - Fax:
Practice Address - Street 1:1200 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1004
Practice Address - Country:US
Practice Address - Phone:336-832-2820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-02
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021019852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology