Individual
DR. MAHMOUD H ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1351 PINE ST, NAPLES, FL 34104-4260
(239) 304-9267
(239) 304-9276
Mailing address
1351 PINE ST, NAPLES, FL 34104-4260
(239) 304-9267
(239) 304-9276
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-033073
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325278
ANTHEM
OH
05
—
0163184
—
OH
Enumeration date
12/27/2005
Last updated
03/05/2012
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