MEDICARE: AB ADAMS PC

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

General Provider Information

NPI Number	:	1912050998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AB ADAMS PC

Provider Business Mailing Address
First Line	:	9999 W KATIE AVE UNIT 1090
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8350
Country	:	US
Telephone Number	:	702-403-7064
Fax Number	:

Provider Business Practice Location Address
First Line	:	9999 W KATIE AVE UNIT 1090
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8350
Country	:	US
Telephone Number	:	702-403-7064
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ATOYA B ADAMS
Credential	:	M.D.
Telephone Number	:	702-403-7064

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	08/22/2020

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