Provider Demographics
NPI:1396785853
Name:ADAMS, ANNE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6444 COYLE AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0300
Mailing Address - Country:US
Mailing Address - Phone:916-961-2021
Mailing Address - Fax:916-961-2022
Practice Address - Street 1:6444 COYLE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0300
Practice Address - Country:US
Practice Address - Phone:916-961-2021
Practice Address - Fax:916-961-2022
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57672207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G576720Medicaid
A53319Medicare UPIN
00G576721Medicare ID - Type UnspecifiedPROVIDER NUMBER