Individual provider · NPI-1

Folashade Adejumoke Adeshuko, MD

Surgery · Bronx, NY

NPI number1659638187

StatusActive

Last updated in NPPESMay 13, 2021

Details

NPI: 1659638187
Entity type: Individual (NPI-1)
Name: Ms. Folashade Adejumoke Adeshuko
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Apr 23, 2012
Certification date: May 13, 2021
Last updated: May 13, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	294339-1	NY	Yes
208D00000X	General Practice	294339-1	NY
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461

Phone 718-918-5000

Mailing address

1400 Pelham Pkwy S
Bronx, NY 10461-1197

Phone 347-524-5947

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