Provider Demographics
NPI:1174770812
Name:LEAH F. ADAMS M.D. INC.
Entity type:Organization
Organization Name:LEAH F. ADAMS M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-441-7665
Mailing Address - Street 1:2 PHENIX RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-1522
Mailing Address - Country:US
Mailing Address - Phone:401-441-7665
Mailing Address - Fax:401-383-4698
Practice Address - Street 1:2 PHENIX RIDGE DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-1522
Practice Address - Country:US
Practice Address - Phone:401-441-7665
Practice Address - Fax:401-383-4698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD09931207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI119025437Medicare PIN