Individual provider · NPI-1
Adekunbi Abosede Adelakun, M.D.
Pediatrics · Southfield, MI
NPI number1801240445
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1801240445
- Entity type
- Individual (NPI-1)
- Name
- Adekunbi Abosede Adelakun
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2016
- Certification date
- Oct 30, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4301500526 | MI | Yes |
| 2080P0201X | Pediatrics, Pediatric Allergy/Immunology | 4301500526 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
29255 Northwestern Hwy Ste 100Southfield, MI 48034-5740
Phone 248-358-2410
Mailing address
29255 Northwestern Hwy Ste 100Southfield, MI 48034-5740
Phone 248-358-2410
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