Provider Demographics
NPI:1851147797
Name:ADELEYE, OLUFUNMILOLA G (MD)
Entity type:Individual
Prefix:DR
First Name:OLUFUNMILOLA
Middle Name:G
Last Name:ADELEYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FUNMI
Other - Middle Name:G
Other - Last Name:ADELEYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:755 E MCDOWELL RD FL 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2506
Mailing Address - Country:US
Mailing Address - Phone:602-521-3250
Mailing Address - Fax:
Practice Address - Street 1:755 E MCDOWELL RD FL 2
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2506
Practice Address - Country:US
Practice Address - Phone:602-521-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program