Salim Ahmed Abdun, PT
Individual provider Active NPI Specialist · Cordova, TN
NPI 1003078874 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1003078874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PT0000005160 (TN)
- Practice address
- 1149 Travers LN
Cordova, TN 38018-8835 - Phone
- (901) 292-4906
- Fax
- (901) 386-7783
- NPI assigned
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000005160 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simba Rehab, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT0000005160 | TN | Yes |
Addresses
Primary practice location
1149 Travers LN
Cordova, TN 38018-8835
Mailing address
1149 Travers LN
Cordova, TN 38018-8835
Phone (901) 292-4906
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.