MEDICARE: CARLOS ADAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	46918	MN

General Provider Information

NPI Number	:	1245272608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ADAMS MD

Provider Business Mailing Address
First Line	:	1700 UNIVERSITY AVE W FL 6
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-3727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2945 HAZELWOOD ST
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-1241
Country	:	US
Telephone Number	:	651-232-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	01/18/2024

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