Healthcare Provider Details

I. General information

NPI: 1457518524
Provider Name (Legal Business Name): SAKA SALAMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 MERCANTILE DR
LELAND NC
28451-4053
US

IV. Provider business mailing address

1604 NELLIE GRAY CT
WILMINGTON NC
28412-3257
US

V. Phone/Fax

Practice location:
  • Phone: 910-371-2500
  • Fax: 910-371-2500
Mailing address:
  • Phone: 973-444-5021
  • Fax: 910-502-5033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2010-00262
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number2010-00262
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: