Salman Abbasifard, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI 1891409652 · NPPES record last updated May 9, 2024

Key facts

NPI
1891409652
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
P118883 (NY)
Practice address
5841 S Maryland Ave Ste J-341
Chicago, IL 60637-1443
Phone
(773) 834-0685
NPI assigned
Jan 6, 2023
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
P118883NYMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X P118883 NY Yes

Addresses

Primary practice location

5841 S Maryland Ave Ste J-341
Chicago, IL 60637-1443

Mailing address

1645 Grand Concourse
Bronx, NY 10452-5810
Phone (718) 960-1216

Other practice location 1

1645 Grand Concourse
Bronx, NY 10452-5810
Phone (718) 960-1216

Other providers in Chicago, IL

All providers in Chicago, IL · Student in an Organized Health Care Education/Training Program in Illinois

Sources for this page

Verify at the official NPI Registry.