| Ilya Al Salman, MD | |
|
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
| (910) 615-5095 | |
| Not Available |
| Full Name | Ilya Al Salman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 6 Years |
| Location | 1638 Owen Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972124048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2023-01129 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Robeson Hospitalist Group Pllc | 2567898430 | 26 |
| Southeastern Regional Medical Center | 7315857141 | 18 |
| Entity Name | Southeastern Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154399699 PECOS PAC ID: 7315857141 Enrollment ID: O20040119000154 |
| Entity Name | Robeson Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336782507 PECOS PAC ID: 2567898430 Enrollment ID: O20200212002903 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilya Al Salman, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-5095 | Ilya Al Salman, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-5095 |
Kenneth Melton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
David Tat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |