Active NPI
Maan Salloum MD PLLC
- Anesthesiology Physician
- Bellevue, WA
National Provider Identifier
1376892778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00016874
- Legal business name
- MAAN SALLOUM MD PLLC
- Practice address
- 1370 116TH Ave NE
Suite 100
Bellevue, WA 98004 - Phone
- (425) 462-6100
- Fax
- (425) 635-0742
- NPI assigned
- Aug 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maan Salloum, MD
- Title
- Provider/Owner
- Phone
- (253) 318-7015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00016874 | WA | Primary |
Addresses
Primary practice location
1370 116TH Ave NE
Suite 100
Bellevue, WA 98004
Mailing address
8215 64TH Street CT W
University Place, WA 98467-3911
Phone (253) 380-6551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602 201 018 | Other | WA | UBI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534982400000",
"number": "1376892778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 64TH STREET CT W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984673911",
"telephone_number": "253-380-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 116TH AVE NE",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-462-6100",
"fax_number": "425-635-0742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAAN SALLOUM MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-31",
"last_updated": "2018-08-23",
"status": "A",
"authorized_official_last_name": "SALLOUM",
"authorized_official_first_name": "MAAN",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "253-318-7015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00016874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "602 201 018",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.