Provider Demographics
NPI:1669608691
Name:AJAYI, FADEKE OYENIKE (MD)
Entity type:Individual
Prefix:DR
First Name:FADEKE
Middle Name:OYENIKE
Last Name:AJAYI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2301 E ALLEGHENY AVE
Mailing Address - Street 2:180
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-4427
Mailing Address - Country:US
Mailing Address - Phone:215-926-3700
Mailing Address - Fax:215-926-3703
Practice Address - Street 1:2301 E ALLEGHENY AVE
Practice Address - Street 2:180
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:215-926-3700
Practice Address - Fax:215-926-3703
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2021-11-22
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Provider Licenses
StateLicense IDTaxonomies
PAMD449595207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA597586OtherTPI MEDICARE GROUP
PACD4829OtherTPI RAILROAD MEDICARE
PA1007278000OtherTPI MEDICAID GROUP