Provider Demographics
NPI:1104832534
Name:ADELMAN, RICHARD D (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:ADELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 SIX FORKS RD
Mailing Address - Street 2:STE 260
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:919-846-9292
Mailing Address - Fax:919-848-3638
Practice Address - Street 1:7320 SIX FORKS RD
Practice Address - Street 2:STE 260
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-846-9292
Practice Address - Fax:919-848-3638
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29996207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
10394OtherBCBS
NC8910394Medicaid
A52687Medicare UPIN
NC203763Medicare ID - Type Unspecified
2342881Medicare UPIN
2342881Medicare PIN