Provider Demographics
NPI:1407090269
Name:ADEOYE, ADEYINKA A
Entity Type:Individual
Prefix:MR
First Name:ADEYINKA
Middle Name:A
Last Name:ADEOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W BELT LINE RD
Mailing Address - Street 2:B
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2080
Mailing Address - Country:US
Mailing Address - Phone:214-315-0130
Mailing Address - Fax:972-293-8852
Practice Address - Street 1:210 W BELT LINE RD
Practice Address - Street 2:B
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2080
Practice Address - Country:US
Practice Address - Phone:214-315-0130
Practice Address - Fax:972-293-8852
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health