Provider Demographics
NPI:1972261378
Name:SALEEM, HEBA (PHARMD)
Entity type:Individual
Prefix:
First Name:HEBA
Middle Name:
Last Name:SALEEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HEBA
Other - Middle Name:
Other - Last Name:DAWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:49495 BARTON DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1558
Mailing Address - Country:US
Mailing Address - Phone:804-477-9917
Mailing Address - Fax:
Practice Address - Street 1:21555 21 MILE RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-2961
Practice Address - Country:US
Practice Address - Phone:586-421-9877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024139501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist