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NPI Code Detail

MEDICARE: DR. SEGUN PATRICK ADEOYE MD

MEDICARE:  DR. SEGUN PATRICK ADEOYE  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
1207Q00000XFamily Medicine PhysicianMD449247PA
2207Q00000XFamily Medicine PhysicianR7637TX
3207Q00000XFamily Medicine PhysicianE-11072AR

General Provider Information

NPI Number : 1629418025
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEGUN PATRICK ADEOYE MD
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 985 NASA PKWY
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3039
Country : US
Telephone Number : 281-218-6777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2013
Last Update Date : 07/28/2020

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Directions to “ DR. SEGUN PATRICK ADEOYE MD” Practice Location

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