MEDICARE: ATOYA ADAMS M.D., M.B.A.

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	11564	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639127285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATOYA ADAMS M.D., M.B.A.

Provider Business Mailing Address
First Line	:	2110 E FLAMINGO RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5191
Country	:	US
Telephone Number	:	702-804-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 E FLAMINGO RD
Second Line	:	SUITE 103
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5190
Country	:	US
Telephone Number	:	702-804-5900
Fax Number	:	702-252-4900

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/03/2016

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