Hawawu Adamu
Individual provider Active NPI Clinical Pharmacology Physician · Rosebud, SD
NPI 1821784042 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1821784042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Pharmacology Physician 208U00000X
- License
- 31154 (NC)
- Practice address
- 400 Soldier Creek Dr
Rosebud, SD 57570-8502 - Phone
- (605) 747-2232
- NPI assigned
- Apr 12, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31154 | NC | MD | Clinical Pharmacology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pharmacology Physician | 208U00000X | 31154 | NC | Yes |
Addresses
Primary practice location
400 Soldier Creek Dr
Rosebud, SD 57570-8502
Mailing address
4186 Clifftonville Ave SW
Concord, NC 28025-7112
Phone (860) 938-2379
Other providers in Rosebud, SD
All providers in Rosebud, SD · Clinical Pharmacology Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.