Provider Demographics
NPI:1588480487
Name:SALEHA MEDICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:SALEHA MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TABASSUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-508-2422
Mailing Address - Street 1:12226 LAZIO LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2221
Mailing Address - Country:US
Mailing Address - Phone:516-508-2422
Mailing Address - Fax:
Practice Address - Street 1:12226 LAZIO LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-2221
Practice Address - Country:US
Practice Address - Phone:516-508-2422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty