Provider Demographics
NPI:1013390129
Name:ADEKEYE, SEYE (MD, PHD)
Entity Type:Individual
Prefix:
First Name:SEYE
Middle Name:
Last Name:ADEKEYE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:ADESEYE
Other - Middle Name:
Other - Last Name:ADEKEYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1100 WALNUT ST FL 3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4944
Mailing Address - Country:US
Mailing Address - Phone:215-955-6999
Mailing Address - Fax:
Practice Address - Street 1:501 N COLUMBIA RD STOP 9037
Practice Address - Street 2:UND DEPARTMENT OF SURGERY
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58202
Practice Address - Country:US
Practice Address - Phone:701-777-3067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRL13756208600000X
PAMD470062208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery