MEDICARE: UKUEMI FOLUSAYO EDEMA 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35.153055	OH

General Provider Information

NPI Number	:	1528677853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UKUEMI FOLUSAYO EDEMA MD

Provider Business Mailing Address
First Line	:	45 ERIEVIEW PLZ APT 1609
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1910
Country	:	US
Telephone Number	:	718-920-4695
Fax Number	:	718-405-4000

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-2401
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:	718-405-4000

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

Provider Enumeration Date	:	07/22/2020
Last Update Date	:	08/12/2025

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