Provider Demographics
NPI:1083807515
Name:ESAN, ADEBAYO OLAGOKE (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEBAYO
Middle Name:OLAGOKE
Last Name:ESAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9452 RIDGE BLVD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-6708
Mailing Address - Country:US
Mailing Address - Phone:516-387-2499
Mailing Address - Fax:888-896-8771
Practice Address - Street 1:9452 RIDGE BLVD
Practice Address - Street 2:UNIT 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6708
Practice Address - Country:US
Practice Address - Phone:516-387-2499
Practice Address - Fax:888-896-8771
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2015-06-15
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Provider Licenses
StateLicense IDTaxonomies
NY245706207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease