Basic Information
Provider Information
NPI: 1932439858
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALEEM
FirstName: KASHIF
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5219 CITY BANK PKWY STE 35
Address2:  
City: LUBBOCK
State: TX
PostalCode: 794073545
CountryCode: US
TelephoneNumber: 8067610333
FaxNumber:  
Practice Location
Address1: 3502 9TH ST STE 110
Address2:  
City: LUBBOCK
State: TX
PostalCode: 794153367
CountryCode: US
TelephoneNumber: 8067628461
FaxNumber: 8067610761
Other Information
ProviderEnumerationDate: 12/29/2009
LastUpdateDate: 07/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XP4808TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207Q00000XP4808TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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