Individual
VAN LEE ADAMS
Active
Individual
VAN LEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010-02058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287236
OHIO MEDICAID UNISON
OH
01
—
2969588
OHIO MEDICAID MOLINA
OH
05
—
2969588
—
OH
01
—
310917085215
OHIO MEDICAID CARESOURCE
OH
05
—
3810015431
—
WV
01
—
P00767040
RAILROAD MEDICARE
—
Enumeration date
05/18/2007
Last updated
07/17/2013
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