Provider Demographics
NPI:1316924798
Name:DAVID, SALEM K JR (MD)
Entity type:Individual
Prefix:DR
First Name:SALEM
Middle Name:K
Last Name:DAVID
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1224 MCFARLAND BLVD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2287
Mailing Address - Country:US
Mailing Address - Phone:205-759-9930
Mailing Address - Fax:205-759-9931
Practice Address - Street 1:1224 MCFARLAND BLVD NE
Practice Address - Street 2:SUITE A
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2287
Practice Address - Country:US
Practice Address - Phone:205-759-9930
Practice Address - Fax:205-759-9931
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2015-01-26
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Provider Licenses
StateLicense IDTaxonomies
AL17829207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL158659Medicaid
AL102G704247Medicare PIN
ALE28736Medicare UPIN