Active NPI
Sultana Ayubi Salam, MD
- Psychiatry Physician
- Fort Lee, VA
National Provider Identifier
1679585301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101036060
- Practice address
- 700 24TH Street, Kenner Army Health Clinic
Fort Lee, VA 23801-1720 - Phone
- (808) 734-9623
- Fax
- (804) 734-9188
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101036060 | VA | Primary |
Addresses
Primary practice location
700 24TH Street, Kenner Army Health Clinic
Fort Lee, VA 23801-1720
Mailing address
11612 Parsons Walk CT
Glen Allen, VA 23059-8510
Phone (804) 734-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E.Sellman MD and Associates PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Richmond, VA
- NPI 1104906627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1679585301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11612 PARSONS WALK CT",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230598510",
"telephone_number": "804-734-9623",
"fax_number": "804-734-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 24TH STREET, KENNER ARMY HEALTH CLINIC",
"city": "FORT LEE",
"state": "VA",
"postal_code": "238011720",
"telephone_number": "808-734-9623",
"fax_number": "804-734-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAM",
"first_name": "SULTANA",
"middle_name": "AYUBI",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101036060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.