NPI Code Details Logo

NPI 1336704220

NPI 1336704220 : YOUSEF MOHAMMAD ABU-SALHA MD : CARY, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336704220
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    YOUSEF MOHAMMAD ABU-SALHA MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/06/2019
-----------------------------------------------------
    Last Update Date     |    08/27/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    110 KILDAIRE PARK DR STE 500 
-----------------------------------------------------
    City                 |    CARY
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27518-8164
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-467-3203
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    121 MANORDALE DR 
-----------------------------------------------------
    City                 |    CHAPEL HILL
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27517-9622
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-610-9348
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    2024-01262
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.