Provider Demographics
NPI:1801054366
Name:OYEMADE, ADEWALE OLATUNJI (MD)
Entity type:Individual
Prefix:DR
First Name:ADEWALE
Middle Name:OLATUNJI
Last Name:OYEMADE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5868 CATINA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1941
Mailing Address - Country:US
Mailing Address - Phone:202-276-2817
Mailing Address - Fax:
Practice Address - Street 1:1539 JACKSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5863
Practice Address - Country:US
Practice Address - Phone:504-581-3933
Practice Address - Fax:504-596-3933
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0391502084P0804X
CAC1916672084P0804X
LAMD2072312084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry