Physician Compare National (NPI:1316149909)

HEALTHCARE PROVIDER: ADEGBOYEGA IBUKUNOLU ADEJANA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316149909
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719079292
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070829000147
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADEJANA
	Individual professional last name
Provider First Name	ADEGBOYEGA
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1414 CRAIN HWY N
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1A
	Group Practice or individual's line 2 address
City	GLEN BURNIE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	210619307
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y