Organization Active NPI

M Saleem Memon MD

  • Medical Specialty Clinic/Center
  • Aberdeen, WA
National Provider Identifier
1144543414
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD00032913 Issued in WA
Legal business name
M SALEEM MEMON MD
Practice address
1220 Basich Blvd Ste B
Aberdeen, WA 98520-1070
Phone
(360) 533-1243
Fax
(360) 533-8333
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammad Saleem Memon, MD
Title
Owner
Phone
(360) 533-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD00032913 WA Primary

Addresses

Primary practice location

1220 Basich Blvd Ste B
Aberdeen, WA 98520-1070

Mailing address

1220 Basich Blvd Ste B
Aberdeen, WA 98520-1070
Phone (360) 533-1243

National Provider Directory

National Provider Directory

Locations

1220 Basich Blvd
Ste B
Aberdeen, WA 98520
Phone (360) 533-1243

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1144543414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BASICH BLVD STE B",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201070",
            "telephone_number": "360-533-1243",
            "fax_number": "360-533-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BASICH BLVD STE B",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201070",
            "telephone_number": "360-533-1243",
            "fax_number": "360-533-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SALEEM MEMON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "SALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-533-1243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00032913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.