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Individual
DR. SAMUEL GBOYEGA ADEDIRAN
Active
Individual
DR. SAMUEL GBOYEGA ADEDIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101264136
VA
207RH0003X
Hematology & Oncology Physician
Primary
86536
SC
207RH0003X
Hematology & Oncology Physician
MT201305
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
865362
—
SC
01
—
SCL0183365
MEDICARE PIN
SC
01
—
SCL0184746
MEDICARE PIN
SC
Enumeration date
06/13/2012
Last updated
09/29/2021
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