Provider Demographics
NPI:1205401932
Name:ADEGBOSIN, DEBORAH MOJOLAJESU (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MOJOLAJESU
Last Name:ADEGBOSIN
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:DETROIT MEDICAL CENTER GME OFFICE 4201 ANTOINE UHC-9C
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-745-1892
Mailing Address - Fax:
Practice Address - Street 1:DETROIT MEDICAL CENTER GME OFFICE 4201 ANTOINE UHC-9C
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-1892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program