Male or Other

Adam T. Kansagor D.O.

Obstetrics & Gynecology Physician in Cary, NC(View on Map)

Full Name

Adam Troy Kansagor D.O.

NPI Number

1306077474

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/06/2009

Specialties

(Taxonomies)

Code

207V00000X
207VG0400X
207VX0000X

Primary Taxonomy

Yes
No
No

Licenses

State

North Carolina

License Number

2013-00633

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 603949
210 ASHVILLE AVE

City

Charlotte
Cary

State

NC
NC

Postal Code

28260-3949
27518-6676

Country

US
US

Telephone Number

(919) 350-0351
(919) 235-6460

Identifiers

Identifier

1791E
1306077474

Identifier State

NC
NC

Identifier Issuer

BCBSNC
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/26/2022

Provider Address

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