Provider Demographics
NPI:1144725854
Name:SALEH, RAFIK BAHGAT SALAMA (MD, MPH)
Entity type:Individual
Prefix:
First Name:RAFIK
Middle Name:BAHGAT SALAMA
Last Name:SALEH
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:RAFIK
Other - Middle Name:
Other - Last Name:SALEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:850 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-5230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:850 E FOOTHILL BLVD DEPT OF
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5230
Practice Address - Country:US
Practice Address - Phone:909-421-9495
Practice Address - Fax:909-421-9466
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ635262083P0901X
CAA1743952083P0901X, 2083A0300X
390200000X
AZR78986390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program