MEDICARE: ADESOLA O OJE 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207RG0100X	Gastroenterology Physician	25MA12772500	NJ

General Provider Information

NPI Number	:	1932662152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADESOLA O OJE MD

Provider Business Mailing Address
First Line	:	D-3100 MEDICAL CENTER NORTH 1161 - 21ST AVENUE SOUTH
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-6778
Country	:	US
Telephone Number	:	615-322-6936
Fax Number	:

Provider Business Practice Location Address
First Line	:	D-3100 MEDICAL CENTER NORTH 1161 - 21ST AVENUE SOUTH
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-6778
Country	:	US
Telephone Number	:	615-322-6936
Fax Number	:

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

Provider Enumeration Date	:	04/14/2019
Last Update Date	:	08/04/2025

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