Healthcare Provider Details

I. General information

NPI: 1538801535
Provider Name (Legal Business Name): TAIWO ADEDUNMOLA OPALEYE-ENAKHIMION MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22301 FOSTER WINTER DR
SOUTHFIELD MI
48075-3707
US

IV. Provider business mailing address

22301 FOSTER WINTER DR
SOUTHFIELD MI
48075-3707
US

V. Phone/Fax

Practice location:
  • Phone: 248-849-3541
  • Fax: 248-848-2899
Mailing address:
  • Phone: 248-849-3541
  • Fax: 248-848-2899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4351049699
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: