Organization
NORTHLAKE NEPHROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SINASI SALMAN MD (MEDICAL DOCTOR)
(704) 978-0052
Entity
Organization
Contact information
Practice address
1665 DAVIE AVE, STATESVILLE, NC 28677-3519
(704) 978-0052
(704) 978-0054
Mailing address
125 HENRY LN, MOORESVILLE, NC 28117-8767
(704) 660-8878
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200200166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89131MK
BCBS
NC
05
—
89131MK
—
NC
01
—
DF7259
RAILROAD MEDICARE
NC
Enumeration date
07/13/2006
Last updated
10/16/2013
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