Provider Demographics
NPI:1124152137
Name:ONI, ADEDAMOLA (MD)
Entity type:Individual
Prefix:DR
First Name:ADEDAMOLA
Middle Name:
Last Name:ONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E 3RD ST
Mailing Address - Street 2:300
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2106
Mailing Address - Country:US
Mailing Address - Phone:423-770-8021
Mailing Address - Fax:
Practice Address - Street 1:142 MITCHELL ST SW
Practice Address - Street 2:LL1
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3439
Practice Address - Country:US
Practice Address - Phone:404-688-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN027436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine