Provider Demographics
NPI:1528658721
Name:SALAAM CLEVELAND DBA SALAAM CLINIC
Entity type:Organization
Organization Name:SALAAM CLEVELAND DBA SALAAM CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED SHOAIB
Authorized Official - Middle Name:ZAHID
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-533-4888
Mailing Address - Street 1:1925 SAINT CLAIR AVE NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2028
Mailing Address - Country:US
Mailing Address - Phone:216-243-7924
Mailing Address - Fax:216-755-4520
Practice Address - Street 1:7401 EUCLID AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4815
Practice Address - Country:US
Practice Address - Phone:216-243-7924
Practice Address - Fax:216-755-4520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable