Provider Demographics
NPI:1801393921
Name:ADELANWA, AYODELE O (MD)
Entity type:Individual
Prefix:DR
First Name:AYODELE
Middle Name:O
Last Name:ADELANWA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:AYODELE
Other - Middle Name:O
Other - Last Name:AKINYEMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1068 CRESTHAVEN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-0809
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:930 MADISON AVE STE 890
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3413
Practice Address - Country:US
Practice Address - Phone:901-866-8834
Practice Address - Fax:901-302-2834
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN71151207ZP0102X, 207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology