Provider Demographics
NPI:1609878255
Name:NAVIWALA, SALEEM I (MD)
Entity type:Individual
Prefix:DR
First Name:SALEEM
Middle Name:I
Last Name:NAVIWALA
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 1:1600 6TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2626
Mailing Address - Country:US
Mailing Address - Phone:717-849-2860
Mailing Address - Fax:
Practice Address - Street 1:1600 6TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2626
Practice Address - Country:US
Practice Address - Phone:717-849-2860
Practice Address - Fax:434-270-7460
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20825207Y00000X
VA0101258484207Y00000X
PAMD477388207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0821737OtherCIGNA
AL009933863Medicaid
VA1609878255Medicaid
AL515-29732OtherBC BS OF AL
VAP01537333OtherMEDICARE RAILROAD
AL515-29731OtherBC BS OF AL
AL515-31897OtherBC BS OF AL
VA1609878255OtherANTHEM
AL009933862Medicaid
AL051524984Medicaid
AL515-29732OtherBC BS OF AL
AL009933863Medicaid
AL009933862Medicaid