Joseph Salloum, M.D. LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

11850 Issued in MS

Legal business name

JOSEPH SALLOUM, M.D. LLC

Practice address

301 S 28TH Ave
Hattiesburg, MS 39401-7233

Phone

(601) 288-1701

Fax

(601) 288-1715

NPI assigned

Apr 15, 2013

Last updated

Oct 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Funk

Title

Billing Administrator

Phone

(877) 434-2035

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1962845438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15158",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394045158",
            "telephone_number": "601-288-1701",
            "fax_number": "601-288-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017233",
            "telephone_number": "601-288-1701",
            "fax_number": "601-288-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH SALLOUM, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "877-434-2035"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "11850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Radiation Oncology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.