Provider Demographics
NPI:1467892984
Name:ADEPOJU, YEWANDE (DO)
Entity Type:Individual
Prefix:
First Name:YEWANDE
Middle Name:
Last Name:ADEPOJU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 ORO DAM BLVD E
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6052
Mailing Address - Country:US
Mailing Address - Phone:530-990-7430
Mailing Address - Fax:530-990-7434
Practice Address - Street 1:2450 ORO DAM BLVD E
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6052
Practice Address - Country:US
Practice Address - Phone:530-990-7430
Practice Address - Fax:530-990-7434
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260599207R00000X
CA20A17552207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine