Individual provider · NPI-1

Dr. Ismail Olayinka Adesanya, M.D.

Family Medicine · Spring, TX

NPI number1740412840
StatusActive
Last updated in NPPESOct 27, 2023

Details

NPI
1740412840
Entity type
Individual (NPI-1)
Name
Dr. Ismail Olayinka Adesanya
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 23, 2009
Certification date
Oct 23, 2023
Last updated
Oct 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineP5019TXYes
207P00000X Emergency MedicineP5019TX
207Q00000X Family MedicineMD2016-0867NM

Practice location

8727 W Rayford Rd
Ste 160
Spring, TX 77389-5440

Phone 281-547-8880

Mailing address

8727 W Rayford Rd
Ste 160
Spring, TX 77389-5440

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