MEDICARE: ADEBOWALE A ADEDIPE MD INC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1992669709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADEBOWALE A ADEDIPE MD INC

Provider Business Mailing Address
First Line	:	11201 SHAKER BLVD STE 338
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-3871
Country	:	US
Telephone Number	:	216-368-7910
Fax Number	:	216-368-7915

Provider Business Practice Location Address
First Line	:	11201 SHAKER BLVD STE 338
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-3871
Country	:	US
Telephone Number	:	216-368-7910
Fax Number	:	321-636-8791

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ADEBOWALE ADEJAYI ADEDIPE
Credential	:	MD
Telephone Number	:	216-392-8501

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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