Provider Demographics
NPI:1881762409
Name:STRINGHAM, CHARLES ADNAN (MD)
Entity type:Individual
Prefix:PROF
First Name:CHARLES
Middle Name:ADNAN
Last Name:STRINGHAM
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 1:51 E HASKELL STREET, SUITE A
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89445
Mailing Address - Country:US
Mailing Address - Phone:775-623-0550
Mailing Address - Fax:775-623-5989
Practice Address - Street 1:51 E HASKELL STREET, SUITE A
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445
Practice Address - Country:US
Practice Address - Phone:775-623-0550
Practice Address - Fax:775-623-5989
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002007003Medicaid
G33017Medicare UPIN
NV002007003Medicaid