Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northlake Nephrology PLLC

Organization Nephrology Physician · NPI 1174548028

Northlake Nephrology PLLC is a Nephrology Physician in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1665 Davie Ave
Statesville, NC 28677-3519
Phone: (704) 978-0052
Fax: (704) 978-0054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 200200166 (NC)

Record details

NPI number1174548028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sinasi Salman — Medical Doctor · (704) 978-0052
NPI enumeratedJuly 13, 2006
Last updated in NPPESOctober 16, 2013
Mailing address125 Henry Ln, Mooresville, NC 28117-8767

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