Provider Demographics
NPI:1659687523
Name:A- AJAYI MD, PLLC
Entity Type:Organization
Organization Name:A- AJAYI MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEKUNLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-826-4942
Mailing Address - Street 1:8965 S PECOS RD
Mailing Address - Street 2:SUITE 10B
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7158
Mailing Address - Country:US
Mailing Address - Phone:702-826-4942
Mailing Address - Fax:702-826-2191
Practice Address - Street 1:8965 S PECOS RD
Practice Address - Street 2:SUITE 10B
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7158
Practice Address - Country:US
Practice Address - Phone:702-826-4942
Practice Address - Fax:702-826-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-29
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV107242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty