Provider Demographics
NPI:1891801932
Name:ADAMS, SHELLEY L (MD)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:A
Other - Last Name:ZAGLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:50 S SAN MATEO DR
Mailing Address - Street 2:#420
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401
Mailing Address - Country:US
Mailing Address - Phone:650-344-1114
Mailing Address - Fax:650-344-2274
Practice Address - Street 1:50 S SAN MATEO DR
Practice Address - Street 2:#420
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-344-1114
Practice Address - Fax:650-344-2274
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG046443207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD3327Medicare ID - Type Unspecified
D3327Medicare UPIN