Provider Demographics
NPI:1407238629
Name:ADIGUN, OLUWAFUNMIKE DOYIN (MD)
Entity type:Individual
Prefix:DR
First Name:OLUWAFUNMIKE
Middle Name:DOYIN
Last Name:ADIGUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLUWAFUNMIKE
Other - Middle Name:DOYIN
Other - Last Name:OJEWOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 MEADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2858
Mailing Address - Country:US
Mailing Address - Phone:267-689-2907
Mailing Address - Fax:
Practice Address - Street 1:10 MEADOWOOD DR
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-2858
Practice Address - Country:US
Practice Address - Phone:215-750-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD465220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program