Provider Demographics
NPI:1699769307
Name:SALEH, ABDELAZIZ A (MD)
Entity type:Individual
Prefix:
First Name:ABDELAZIZ
Middle Name:A
Last Name:SALEH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-4500
Mailing Address - Fax:330-543-4508
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-4500
Practice Address - Fax:330-543-4508
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036076214207VM0101X
SC93818207VM0101X
OH35086215207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4782880Medicaid
OH2581308Medicaid
MI4765262Medicaid
OHSA4174321Medicare PIN
MI4782880Medicaid
OH2581308Medicaid
OH7392611Medicare PIN
IL754210012Medicare PIN
F17037Medicare UPIN