Provider Demographics
NPI:1801090469
Name:ESHAM, ADAM LESTER (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LESTER
Last Name:ESHAM
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 1:4439 STATE ROUTE 159 STE 260
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-7502
Mailing Address - Country:US
Mailing Address - Phone:740-779-4370
Mailing Address - Fax:740-779-4379
Practice Address - Street 1:4439 STATE ROUTE 159 STE 260
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-7502
Practice Address - Country:US
Practice Address - Phone:740-779-4370
Practice Address - Fax:740-779-4379
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.097987208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3859623985OtherMYUTMB 3859623985-COMMERCIAL NUMBER
OH0067685Medicaid