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NPI Code Detail

MEDICARE: OLUWATIMILEHIN ADEWUNMI MD, MPH

MEDICARE:   OLUWATIMILEHIN  ADEWUNMI  MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMT229092PA

General Provider Information

NPI Number : 1093499493
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUWATIMILEHIN ADEWUNMI MD, MPH
Provider Business Mailing Address
First Line : 5501 OLD YORK RD
Second Line :
City : PHILA
State : PA
Zip : 19141-3018
Country : US
Telephone Number : 484-622-1199
Fax Number :
Provider Business Practice Location Address
First Line : 5501 OLD YORK RD
Second Line :
City : PHILA
State : PA
Zip : 19141-3018
Country : US
Telephone Number : 484-622-1199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 03/04/2026

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