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NPI Code Detail

MEDICARE: OLUWASAYO ADEYEMO MD/MPH

MEDICARE: OLUWASAYO ADEYEMO 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
1207RG0100XGastroenterology PhysicianD85900MD
2207R00000XInternal Medicine PhysicianD85900MD
3390200000XStudent in an Organized Health Care Education/Training Program
4207RG0100XGastroenterology PhysicianMD489156CPA

General Provider Information

NPI Number : 1205221777
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUWASAYO ADEYEMO MD/MPH
Provider Business Mailing Address
First Line : 100 WALTER WARD BLVD STE 100
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1283
Country : US
Telephone Number : 443-347-4700
Fax Number : 443-643-4707
Provider Business Practice Location Address
First Line : 100 WALTER WARD BLVD STE 100
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1283
Country : US
Telephone Number : 443-347-4700
Fax Number : 443-643-4707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 05/27/2026

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