Provider Demographics
NPI:1124225255
Name:ADAMS, CARLO E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLO
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1559 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2710
Mailing Address - Country:US
Mailing Address - Phone:248-550-3203
Mailing Address - Fax:248-928-0300
Practice Address - Street 1:20870 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1388
Practice Address - Country:US
Practice Address - Phone:313-885-2334
Practice Address - Fax:249-928-0300
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-7148208100000X
MI43010906002081N0008X, 2081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine