Provider Demographics
NPI:1902857147
Name:FRENCH, ADAM A (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:A
Last Name:FRENCH
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 1:2300 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-9810
Mailing Address - Country:US
Mailing Address - Phone:812-256-1106
Mailing Address - Fax:812-256-1329
Practice Address - Street 1:2300 MARKET ST
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:IN
Practice Address - Zip Code:47111-9810
Practice Address - Country:US
Practice Address - Phone:812-256-1106
Practice Address - Fax:812-256-1329
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060564A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000549270OtherANTHEM
IN200532120Medicaid
INP00603828Medicare PIN
IN255980AMedicare PIN
IN000000549270OtherANTHEM