Provider Demographics
NPI:1417118159
Name:ADELAJA, IBIRONKE VIVIAN (MD)
Entity type:Individual
Prefix:
First Name:IBIRONKE
Middle Name:VIVIAN
Last Name:ADELAJA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2625 E DIVISADERO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1431
Mailing Address - Country:US
Mailing Address - Phone:559-443-2682
Mailing Address - Fax:559-443-2681
Practice Address - Street 1:2335 E KASHIAN LN STE 220
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2211
Practice Address - Country:US
Practice Address - Phone:559-256-5140
Practice Address - Fax:559-485-4505
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2024-11-27
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Provider Licenses
StateLicense IDTaxonomies
CAA102787208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery