Ilya Al Salman, MD
Internal Medicine in Fayetteville, NC. Individual provider (NPI-1).
NPI number1972124048
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1972124048
- Entity type
- Individual (NPI-1)
- Name
- Ilya Al Salman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2020
- Certification date
- Jun 14, 2023
- Last updated
- Jun 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2023-01129 | NC | Yes |
Practice location
1638 Owen DrFayetteville, NC 28304-3424
Phone 910-615-5095
Mailing address
1638 Owen DrFayetteville, NC 28304-3424
Phone 910-615-5095
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