Provider Demographics
NPI:1245228527
Name:ABU-SALHA, MOHAMMAD YOUSIF (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:YOUSIF
Last Name:ABU-SALHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 NC HIGHWAY 42 W STE 220
Mailing Address - Street 2:JOHNSTON PSYCHIATRIC ASSOCIATES
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5303
Mailing Address - Country:US
Mailing Address - Phone:919-550-3323
Mailing Address - Fax:919-550-3379
Practice Address - Street 1:2076 NC HIGHWAY 42 W STE 220
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5303
Practice Address - Country:US
Practice Address - Phone:919-550-3323
Practice Address - Fax:919-550-3379
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC987522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903360Medicaid
NC5903360Medicaid
NC5903360Medicaid