Provider Demographics
NPI:1487133872
Name:YAGHI, SALIM (MD)
Entity type:Individual
Prefix:
First Name:SALIM
Middle Name:
Last Name:YAGHI
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 1:15038 UNION TPKE APT 3N
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3902
Mailing Address - Country:US
Mailing Address - Phone:917-783-1753
Mailing Address - Fax:
Practice Address - Street 1:15038 UNION TPKE APT 3N
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3902
Practice Address - Country:US
Practice Address - Phone:917-783-1753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100068899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine