Provider Demographics
NPI:1063646495
Name:KALEJAIYE, ADEDOYIN OLUKEMI (MD)
Entity Type:Individual
Prefix:
First Name:ADEDOYIN
Middle Name:OLUKEMI
Last Name:KALEJAIYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW
Mailing Address - Street 2:SUITE 4B-27
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-3785
Mailing Address - Fax:202-865-7089
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:SUITE 4B-27
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-3785
Practice Address - Fax:202-865-7089
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DCMD042204207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program