Provider Demographics
NPI:1659632271
Name:ADAMKIN, MATTHEW D (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:D
Last Name:ADAMKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 BLYTHE BLVD
Mailing Address - Street 2:CAROLINAS REHABILITATION, DEPT OF PM&R
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5814
Mailing Address - Country:US
Mailing Address - Phone:704-355-4406
Mailing Address - Fax:704-355-0709
Practice Address - Street 1:1100 BLYTHE BLVD
Practice Address - Street 2:CAROLINAS REHABILITATION, DEPT OF PM&R
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5814
Practice Address - Country:US
Practice Address - Phone:704-355-4406
Practice Address - Fax:704-355-0709
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY49129208100000X
KYTP071208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation