Provider Demographics
NPI:1467745240
Name:ESHO, ADENIKE TITILAYO (MD , MPH)
Entity Type:Individual
Prefix:
First Name:ADENIKE
Middle Name:TITILAYO
Last Name:ESHO
Suffix:
Gender:F
Credentials:MD , MPH
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Mailing Address - Street 1:3409 ANDREWS HWY STE B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-5149
Mailing Address - Country:US
Mailing Address - Phone:432-599-3556
Mailing Address - Fax:432-614-0002
Practice Address - Street 1:5615 DEAUVILLE STE 240
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-2709
Practice Address - Country:US
Practice Address - Phone:432-221-5560
Practice Address - Fax:432-221-2375
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2024-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ2659207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX383114YPVDOtherTX MEDICARE
TXP01581091OtherRAILROAD MCARE