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General NPI Number Information
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NPI Number | 1730136615
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Entity Type | Individual
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Provider Name | AYODELE L ADEBAYO MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 6105 CENTER HILL AVE FE-A4
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City | CINCINNATI
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State | OH
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Zip | 45224-1705
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Country | US
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Telephone | 513-634-1622
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Fax | 513-386-1807
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Provider Business Mailing Address
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Address Line | 6105 CENTER HILL AVE FE-A4
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City | CINCINNATI
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State | OH
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Zip | 45224-1705
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Country | US
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Telephone | 513-634-1622
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Fax | 513-386-1807
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35084960
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 35.084960
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License Number State | OH
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