Provider Demographics
NPI:1922414622
Name:OGUNKOYA, ADEYEMI (MD)
Entity Type:Individual
Prefix:
First Name:ADEYEMI
Middle Name:
Last Name:OGUNKOYA
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 1:337 LENOX RD
Mailing Address - Street 2:APT 6D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:337 LENOX RD
Practice Address - Street 2:APT 6D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2260
Practice Address - Country:US
Practice Address - Phone:917-692-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262006207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology