Provider Demographics
NPI:1003955030
Name:OSUNKOYA, ADEBOYE OLUWASEYI (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEBOYE
Middle Name:OLUWASEYI
Last Name:OSUNKOYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 BROADWAY STREET
Mailing Address - Street 2:DEPT. OF PATH. JOHNS HOPKINS WEINBERG BUILDING 2242
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231
Mailing Address - Country:US
Mailing Address - Phone:405-808-5361
Mailing Address - Fax:
Practice Address - Street 1:401 N BROADWAY
Practice Address - Street 2:JOHNS HOPKINS PATHOLOGY , WEINBERG ROOM 2242
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1146
Practice Address - Country:US
Practice Address - Phone:405-808-5361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK22898207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology