=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114832938
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AYO-OLUWA ADEOLA ADESANYA MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2026
-----------------------------------------------------
Last Update Date | 08/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | KING EDWARD VII MEMORIAL HOSPITAL 7 POINT FINGER ROAD
-----------------------------------------------------
City | PAGET
-----------------------------------------------------
State | BERMUDA
-----------------------------------------------------
Zip | DV004
-----------------------------------------------------
Country | BM
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2850 DELK RD SE APT 27D
-----------------------------------------------------
City | MARIETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30067-5374
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 441-239-1082
-----------------------------------------------------
Fax | 441-239-1083
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------