Individual provider · NPI-1

Adekunle Michael Adesina, MD PhD

Pathology, Anatomic Pathology · Houston, TX

NPI number1376599225
StatusActive
Last updated in NPPESFeb 28, 2008

Details

NPI
1376599225
Entity type
Individual (NPI-1)
Name
Adekunle Michael Adesina
Credential
MD PhD
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2006
Last updated
Feb 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0101X Pathology, Anatomic PathologyL5213TXYes
207ZN0500X Pathology, NeuropathologyL5213TX
207ZN0500X Pathology, Neuropathology18717OK
207ZN0500X Pathology, Neuropathology8069VT
207ZP0007X Pathology, Molecular Genetic PathologyL5213TX
207ZP0007X Pathology, Molecular Genetic Pathology18717OK
207ZP0007X Pathology, Molecular Genetic Pathology8069VT
207ZP0101X Pathology, Anatomic Pathology18717OK
207ZP0101X Pathology, Anatomic Pathology8069VT

Practice location

6621 Fannin St
Houston, TX 77030

Phone 832-824-1866 · Fax 832-825-1032

Mailing address

Po Box 741169
Houston, TX 77274-1169

Phone 832-824-1866 · Fax 832-825-1032

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