Salomon Asmar, MD
Individual provider Active NPI Hematology (Internal Medicine) Physician · Jackson, TN
NPI 1205821998 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1205821998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology (Internal Medicine) Physician 207RH0000X
- License
- 34967 (TN)
- Practice address
- 2863 Highway 45 Byp
Jackson, TN 38305-3618 - Phone
- (731) 664-1375
- Fax
- (731) 664-1378
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34967 | TN | MD | Medical Oncology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 34967 | TN | Yes |
| Medical Oncology Physician | 207RX0202X | 34967 | TN |
Addresses
Primary practice location
2863 Highway 45 Byp
Jackson, TN 38305-3618
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3861770 | Medicaid | TN |
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All providers in Jackson, TN · Hematology (Internal Medicine) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. 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.