Adam Kamal Adam, DRIVER

Primary specialty

DriverTaxonomy code 172A00000X

License

M533128232511 Issued in MN

Practice address

1 W Lake St Apt 409
Minneapolis, MN 55408-3153

Phone

(612) 481-0352

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1699490433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKE ST APT 409",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083153",
            "telephone_number": "612-481-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKE ST APT 409",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083153",
            "telephone_number": "612-481-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "ADAM",
        "middle_name": "KAMAL",
        "name_prefix": "Mr.",
        "credential": "DRIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "M533128232511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmet Selcuk Adabag, M.D
• Frances Carolyn Adair, LICSW
• Richard Franklin Adair, MD
• Adam Fox MD
• Adam Home Healthcare
• Anab Yusuf Adam
• Asma Adam, MD
• Bariituu I Adam, MD
• Elizabeth Kate Adam, RN
• Jamila Kedir Adam I

• Driver in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.