Provider Demographics
NPI:1750776423
Name:AADMA PRIMARY CARE,PLLC
Entity type:Organization
Organization Name:AADMA PRIMARY CARE,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIBHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DHOLAKIA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:919-362-1836
Mailing Address - Street 1:1001 PEMBERTON HILL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4265
Mailing Address - Country:US
Mailing Address - Phone:919-362-1836
Mailing Address - Fax:919-362-1937
Practice Address - Street 1:1001 PEMBERTON HILL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4265
Practice Address - Country:US
Practice Address - Phone:919-362-1836
Practice Address - Fax:919-362-1937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006511363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCG273AMedicare UPIN