Provider Demographics
NPI:1356436166
Name:SALEEMI, ANEES R (MD)
Entity type:Individual
Prefix:
First Name:ANEES
Middle Name:R
Last Name:SALEEMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 MATLOCK RD
Mailing Address - Street 2:#C
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015
Mailing Address - Country:US
Mailing Address - Phone:817-275-8991
Mailing Address - Fax:817-261-0235
Practice Address - Street 1:2726 MATLOCK RD
Practice Address - Street 2:#C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015
Practice Address - Country:US
Practice Address - Phone:817-275-8991
Practice Address - Fax:817-261-0235
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5025207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133955702Medicaid
TXB143664OtherMEDICARE PTAN #
TXB143664OtherMEDICARE PTAN #
TX133955702Medicaid
C21487Medicare UPIN