Provider Demographics
NPI:1003924101
Name:DOSUNMU, HAMEED ADEDEJI (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMEED
Middle Name:ADEDEJI
Last Name:DOSUNMU
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 1:7434 LOUIS PASTEUR DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4538
Mailing Address - Country:US
Mailing Address - Phone:210-593-0390
Mailing Address - Fax:210-593-0388
Practice Address - Street 1:7434 LOUIS PASTEUR DR
Practice Address - Street 2:SUITE 309
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4538
Practice Address - Country:US
Practice Address - Phone:210-593-0390
Practice Address - Fax:210-593-0388
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3285207R00000X
NY222240207R00000X
LA15025R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1549859-05Medicaid
TX8BX470OtherBLUE CROSS BLUE SHIELD
TX1549859-05Medicaid
TX8F8898Medicare PIN