Provider Demographics
NPI:1497173694
Name:AIKOYE, SALISU ADEJO (MD)
Entity Type:Individual
Prefix:DR
First Name:SALISU
Middle Name:ADEJO
Last Name:AIKOYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13132 STUDEBAKER RD STE 10
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-2576
Mailing Address - Country:US
Mailing Address - Phone:989-475-2543
Mailing Address - Fax:
Practice Address - Street 1:13132 STUDEBAKER RD STE 10
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-2576
Practice Address - Country:US
Practice Address - Phone:562-280-7176
Practice Address - Fax:562-262-0735
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011075692084P0800X
CAA1547612084P0802X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry