Provider Demographics
NPI:1841294345
Name:GULHAN, ADAM MEHMET (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:MEHMET
Last Name:GULHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MEHMET
Other - Middle Name:
Other - Last Name:GULHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11435 WELLSHIRE COMMONS CIR APT 1808
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4097
Mailing Address - Country:US
Mailing Address - Phone:757-338-4100
Mailing Address - Fax:
Practice Address - Street 1:3130 SHORE DR STE 111
Practice Address - Street 2:BAY AREA NEUROLOGY CONSULTATNTS
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-4291
Practice Address - Country:US
Practice Address - Phone:715-732-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20210170182084N0400X
WI4502084N0400X
IN01075613A2084N0400X
VA01012335792084N0600X
PAMD4249822084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100042591Medicaid
PA101092242Medicaid
PA082780Medicare ID - Type Unspecified