MEDICARE: OLUYINKA ADEDIJI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	00245	AL
2	207R00000X	Internal Medicine Physician	00024570	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51507337ADE	OTHER	AL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	51515411ADE	OTHER	AL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	51515410ADE	OTHER	AL	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	51515412ADE	OTHER	AL	BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245226612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUYINKA ADEDIJI MD

Provider Business Mailing Address
First Line	:	215 WINTON M BLOUNT LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3507
Country	:	US
Telephone Number	:	334-239-9480
Fax Number	:	334-239-7800

Provider Business Practice Location Address
First Line	:	215 WINTON M BLOUNT LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3507
Country	:	US
Telephone Number	:	334-239-9480
Fax Number	:	334-239-7800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	11/16/2023

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Directions to “ OLUYINKA ADEDIJI MD” Practice Location

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