Abdulgadir Adam MD PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301076176 Issued in MI

Legal business name

ABDULGADIR ADAM MD PLLC

Practice address

27901 Woodward Ave
Suite 220
Berkley, MI 48072-0919

Phone

(248) 556-5582

Fax

(248) 850-7142

NPI assigned

Nov 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdulgadir Adam, MD

Title

President

Phone

(734) 355-7044

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1508239104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E CANFORD PARK",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876670",
            "telephone_number": "734-355-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE",
            "address_2": "SUITE 220",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720919",
            "telephone_number": "248-556-5582",
            "fax_number": "248-850-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDULGADIR ADAM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "ABDULGADIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-355-7044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301076176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Berkley, MI
• Providers in Berkley, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.