Provider Demographics
NPI:1023460706
Name:OYEDELE, FATIMOH (MD)
Entity type:Individual
Prefix:
First Name:FATIMOH
Middle Name:
Last Name:OYEDELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FATIMOH
Other - Middle Name:
Other - Last Name:OYEDELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FATIMOH FAGADE
Mailing Address - Street 1:8960 ARNOLD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1528
Mailing Address - Country:US
Mailing Address - Phone:313-422-5739
Mailing Address - Fax:
Practice Address - Street 1:12221 N MOPAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2401
Practice Address - Country:US
Practice Address - Phone:512-901-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV3401207P00000X
MI4351048203207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine