Provider Demographics
NPI:1649432048
Name:ADEYEYE, ADEOLA OPEYEMI (MD)
Entity type:Individual
Prefix:DR
First Name:ADEOLA
Middle Name:OPEYEMI
Last Name:ADEYEYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 GEORGIA AVE NW
Mailing Address - Street 2:HOWARD UNIVERSITY HOSPITAL FAMILY HEALTH CENTER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001
Mailing Address - Country:US
Mailing Address - Phone:202-865-3250
Mailing Address - Fax:202-865-7202
Practice Address - Street 1:2139 GEORGIA AVE NW
Practice Address - Street 2:HOWARD UNIVERSITY HOSPITAL FAMILY HEALTH CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001
Practice Address - Country:US
Practice Address - Phone:202-865-3250
Practice Address - Fax:202-865-7202
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD69889207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine