# JOHN A ADENIYI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306920756
- **Gender:** Man
- **Credential:** M.D., F.A.C.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | WV21293 | WV | — |
| 2086S0129X | Vascular Surgery Physician | WV21293 | WV | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001719007 | BCBS | WV |
| 05 | — | 3810000654 | — | WV |
| 01 | — | P00093109 | RR MC | WV |