Individual
DR. IAN ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
3237 BLUE RIDGE RD, RALEIGH, NC 27612-8010
(919) 781-7500
(919) 645-3054
Mailing address
3237 BLUE RIDGE RD, RALEIGH, NC 27612-8010
(919) 781-7500
(919) 645-3054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-00461
NC
207R00000X
Internal Medicine Physician
ME101463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009511000
—
FL
01
—
2210259
GHI
FL
01
—
323667
AVMED
FL
01
—
46852
BCBS-FL
FL
01
—
P00807385
RR MEDICARE
FL
Enumeration date
04/22/2008
Last updated
06/18/2024
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