Provider Demographics
NPI:1326843210
Name:SALAT, SULDAN IBRAHIM
Entity type:Individual
Prefix:
First Name:SULDAN
Middle Name:IBRAHIM
Last Name:SALAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 BURT ST APT 3173031
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2071
Mailing Address - Country:US
Mailing Address - Phone:469-867-8634
Mailing Address - Fax:469-867-8634
Practice Address - Street 1:3031 BURT ST APT 3173031
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2071
Practice Address - Country:US
Practice Address - Phone:469-867-8634
Practice Address - Fax:469-867-8634
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion