Provider Demographics
NPI:1760649776
Name:AFOLAYAN, ADELEYE JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ADELEYE
Middle Name:JAMES
Last Name:AFOLAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ADELEYE
Other - Middle Name:JAMES
Other - Last Name:OLANIYONU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:DIVISION OF NEONATOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-805-3666
Mailing Address - Fax:414-266-6979
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:DIVISION OF NEONATOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-805-3666
Practice Address - Fax:414-266-6979
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI523652080N0001X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1760649776Medicaid
WI736012461Medicare PIN