Provider Demographics
NPI:1184880049
Name:ALSAKA, MHD ADNAN (MD)
Entity type:Individual
Prefix:DR
First Name:MHD
Middle Name:ADNAN
Last Name:ALSAKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-777-7162
Mailing Address - Fax:843-777-7102
Practice Address - Street 1:101 S RAVENEL ST
Practice Address - Street 2:SUITE 120
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2618
Practice Address - Country:US
Practice Address - Phone:843-777-7290
Practice Address - Fax:843-777-7280
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37726207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology