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NPI Code Detail

MEDICARE: RUEBEN A ADEGOKE MD

MEDICARE: RUEBEN A ADEGOKE MD
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
1207V00000XObstetrics & Gynecology Physician61736MN
2207V00000XObstetrics & Gynecology Physician65197WI
3207V00000XObstetrics & Gynecology Physician12832NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24301084299OTHERNVMICHIGAN LICENSE #
3EA938ZOTHERNVPTAN

General Provider Information

NPI Number : 1134380470
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUEBEN A ADEGOKE MD
Provider Business Mailing Address
First Line : 2345 E PRATER WAY STE 207
Second Line :
City : SPARKS
State : NV
Zip : 89434-9634
Country : US
Telephone Number : 775-356-9393
Fax Number : 775-356-5590
Provider Business Practice Location Address
First Line : 1050 W GALLERIA DR
Second Line :
City : HENDERSON
State : NV
Zip : 89011-4800
Country : US
Telephone Number : 702-963-7000
Fax Number : 702-333-8466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 04/22/2024

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Directions to “ RUEBEN A ADEGOKE MD” Practice Location

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