Provider Demographics
NPI:1477347060
Name:BUSARI, ADENIYI KAYODE (MD MPH)
Entity type:Individual
Prefix:
First Name:ADENIYI
Middle Name:KAYODE
Last Name:BUSARI
Suffix:
Gender:
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AL
Mailing Address - Zip Code:36756-3217
Mailing Address - Country:US
Mailing Address - Phone:334-247-1006
Mailing Address - Fax:
Practice Address - Street 1:1303 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AL
Practice Address - Zip Code:36756-3217
Practice Address - Country:US
Practice Address - Phone:334-247-1006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program