Provider Demographics
NPI:1982047205
Name:SODEINDE, ADEDEJI OLUWATOSIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEDEJI
Middle Name:OLUWATOSIN
Last Name:SODEINDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 E BROAD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6351
Mailing Address - Country:US
Mailing Address - Phone:440-323-3574
Mailing Address - Fax:440-323-3552
Practice Address - Street 1:1170 E BROAD ST STE 102
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6351
Practice Address - Country:US
Practice Address - Phone:440-323-3574
Practice Address - Fax:440-323-3552
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35131696207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology