Healthcare Provider Details

I. General information

NPI: 1154634384
Provider Name (Legal Business Name): ADENIKE TOLULUPE SHOYINKA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADENIKE TOLULUPE ADEYINKA M.D.

II. Dates (important events)

Enumeration Date: 07/16/2010
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 S CEDAR ST
LANSING MI
48911-3800
US

IV. Provider business mailing address

PO BOX 30161
LANSING MI
48909-7661
US

V. Phone/Fax

Practice location:
  • Phone: 517-887-4305
  • Fax:
Mailing address:
  • Phone: 517-887-4383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number4301097201
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: