Provider Demographics
NPI:1699940528
Name:ADEYEFA, BABATUNDE OLUFEMI (MD)
Entity type:Individual
Prefix:
First Name:BABATUNDE
Middle Name:OLUFEMI
Last Name:ADEYEFA
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:PO BOX 94670
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73143-4670
Mailing Address - Country:US
Mailing Address - Phone:405-682-3303
Mailing Address - Fax:405-384-6793
Practice Address - Street 1:21212 NORTHWEST FWY STE 425A
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5887
Practice Address - Country:US
Practice Address - Phone:832-912-4481
Practice Address - Fax:832-912-4464
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5253207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology