Individual provider · NPI-1

Adekunle Adedayo Adedeji, M.D.

Family Medicine, Geriatric Medicine · El Paso, TX

NPI number1902086937

StatusActive

Last updated in NPPESMay 28, 2024

Details

NPI: 1902086937
Entity type: Individual (NPI-1)
Name: Mr. Adekunle Adedayo Adedeji
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Nov 7, 2007
Certification date: May 28, 2024
Last updated: May 28, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207QG0300X	Family Medicine, Geriatric Medicine	N3416	TX	Yes
207Q00000X	Family Medicine	N3416	TX

Practice location

8623 N Loop Dr Ste A
El Paso, TX 79907-4520

Phone 915-881-4155 · Fax 915-881-4172

Mailing address

8623 N Loop Dr Ste A
El Paso, TX 79907-4520

Phone 915-881-4155 · Fax 915-881-4172

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