Provider Demographics
NPI:1386490712
Name:SALIB, ANDREW IHAB EMIL (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:IHAB EMIL
Last Name:SALIB
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 1:525 EAST MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304
Mailing Address - Country:US
Mailing Address - Phone:330-375-3584
Mailing Address - Fax:234-312-2307
Practice Address - Street 1:525 EAST MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304
Practice Address - Country:US
Practice Address - Phone:330-375-3584
Practice Address - Fax:234-312-2307
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2025-01-10
Deactivation Date:2024-12-31
Deactivation Code:
Reactivation Date:2025-01-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program