Healthcare Provider Details

I. General information

NPI: 1811282056
Provider Name (Legal Business Name): ADAM RICHARD MILITANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 MCDOWELL ST
ASHEVILLE NC
28803-0381
US

IV. Provider business mailing address

719 THOMPSON LN SUITE 30330
NASHVILLE TN
37204-3609
US

V. Phone/Fax

Practice location:
  • Phone: 828-436-5500
  • Fax:
Mailing address:
  • Phone: 615-322-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number390200000X
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number51210
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2017-00291
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: