Provider Demographics
NPI:1972581403
Name:SALAMA, SHERIF A (MD)
Entity type:Individual
Prefix:DR
First Name:SHERIF
Middle Name:A
Last Name:SALAMA
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 1:24400 CHAGRIN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5632
Mailing Address - Country:US
Mailing Address - Phone:440-995-4500
Mailing Address - Fax:440-995-4585
Practice Address - Street 1:24400 CHAGRIN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5632
Practice Address - Country:US
Practice Address - Phone:440-995-4500
Practice Address - Fax:440-995-4585
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-071836208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2187548Medicaid
000000573245OtherANTHEM
OH5387705OtherAETNA
OH2491553OtherCIGNA
OH5387705OtherAETNA
OH2187548Medicaid
OHG81663Medicare UPIN
OH2187548Medicaid