Provider Demographics
NPI:1386808905
Name:ADEWUYA, OLADAPO A (MD, DIP,)
Entity type:Individual
Prefix:DR
First Name:OLADAPO
Middle Name:A
Last Name:ADEWUYA
Suffix:
Gender:M
Credentials:MD, DIP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 IRON ORE
Mailing Address - Street 2:#315
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6391
Mailing Address - Country:US
Mailing Address - Phone:409-939-0729
Mailing Address - Fax:
Practice Address - Street 1:6701 IRON ORE
Practice Address - Street 2:#315
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6391
Practice Address - Country:US
Practice Address - Phone:409-939-0729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-13
Last Update Date:2008-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program