Basic Information
Provider Information
NPI: 1952626590
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALEEM
FirstName: KASHIF
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 545 BARNHILL DR EH 215
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462025112
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1801 N SENATE BLVD MPC2 #3300
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 46202
CountryCode: US
TelephoneNumber: 3179231787
FaxNumber: 3179620262
Other Information
ProviderEnumerationDate: 04/06/2010
LastUpdateDate: 05/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X01075310AINN Allopathic & Osteopathic PhysiciansSurgery 
208G00000X01075310AINY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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