| Adamu Salisu, Md Pllc | |
|
200 E Jefferson St Monroe NC 28112-4863 | |
| (336) 577-3285 | |
| Not Available |
| Full Name | Adamu Salisu, Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 E Jefferson St, Monroe, North Carolina |
| Authorized Official Name and Position | Adamu Salisu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3365773285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adamu Salisu, Md Pllc Po Box 2005 Monroe NC 28111-2005 Ph: (336) 577-3285 | Adamu Salisu, Md Pllc 200 E Jefferson St Monroe NC 28112-4863 Ph: (336) 577-3285 |
| NPI Number | 1679877534 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 9739457235 |
|---|---|
| Medicare Enrollment ID | O20170623001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679877534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2005-01681 (North Carolina) | Primary |
| Provider Name | Adamu Salisu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578760898 PECOS PAC ID: 1153495841 Enrollment ID: I20080729000488 |
| Provider Name | Yu Wei Shan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339785 PECOS PAC ID: 2668752999 Enrollment ID: I20161202001624 |
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