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Dr. Gohar A Salam, MD,FACS
Ambulatory Surgical Clinic/Center in Fort Wayne, Indiana
NPI 1285635334

Gohar A Salam is an Ambulatory Surgical Clinic/Center based in Fort Wayne, IN and is specialized in Ambulatory Surgical. Gohar A Salam practices in Fort Wayne, IN and has the professional credentials of MD,FACS. The NPI Number for Gohar A Salam is 1285635334 and holds a License No. 01058885A (Indiana).

The current practice location address for Gohar A Salam is 11188 Diebold Rd, Fort Wayne, IN and can be reached out via phone at 260-483-9500 and via fax at 260-483-9511. You can also correspond with Gohar A Salam through the mailing address at 11188 DIEBOLD RD, FORT WAYNE, IN - 46845-9662 (mailing address contact number: 260-483-9500).

Location: 11188 Diebold Rd, Fort Wayne, IN, 46845-9662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285635334
Provider Name
Gohar A Salam
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
11188 Diebold Rd, Fort Wayne, IN, 46845-9662
Phone Number
260-483-9500
Fax Number
260-483-9511
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7800696 01 IN AETNA
000000364631 01 IN ANTHEM
17842 01 IN PHP
200484720A 05 IN
institution
Provider Business Practice Location Address Details
Address
11188 Diebold Rd
City
Fort Wayne
State
Indiana
Zip
46845-9662
Phone Number
260-483-9500
Fax Number
260-483-9511
person
Provider Business Mailing Address Details
Address
11188 Diebold Rd
City
Fort Wayne
State
Indiana
Zip
46845-9662
Phone Number
260-483-9500
Fax Number
260-483-9511
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
130127411 (Indiana)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
01058885A (Indiana)
Definition
Definition to come...
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