Provider Demographics
NPI:1912101247
Name:RAMEZ A SALAMAH MD PLLC
Entity type:Organization
Organization Name:RAMEZ A SALAMAH MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMEZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-683-0022
Mailing Address - Street 1:815 E PARRISH AVE
Mailing Address - Street 2:SUITE 440
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-3222
Mailing Address - Country:US
Mailing Address - Phone:270-683-0022
Mailing Address - Fax:270-688-1939
Practice Address - Street 1:815 E PARRISH AVE
Practice Address - Street 2:SUITE 440
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3222
Practice Address - Country:US
Practice Address - Phone:270-683-0022
Practice Address - Fax:270-688-1939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32529207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64325293Medicaid
KY7483Medicare PIN