Provider Demographics
NPI:1295947026
Name:ADEPOJU, DORCAS IYABO (MD)
Entity type:Individual
Prefix:DR
First Name:DORCAS
Middle Name:IYABO
Last Name:ADEPOJU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 HAVEN FOR HOPE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-1108
Mailing Address - Country:US
Mailing Address - Phone:210-220-2478
Mailing Address - Fax:210-220-2444
Practice Address - Street 1:1 HAVEN FOR HOPE WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-1108
Practice Address - Country:US
Practice Address - Phone:210-220-2478
Practice Address - Fax:210-220-2444
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-65702084P0800X
TXN61292084P0800X
KS04-328012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry