Individual
ADEMOLA K ABIOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E BROAD ST STE 305, ELYRIA, OH 44035-6447
(440) 414-9100
Mailing address
29325 HEALTH CAMPUS DR STE 3, WESTLAKE, OH 44145-8201
(440) 414-9400
(216) 201-5591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35096539
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35096539
OH
207UN0901X
Nuclear Cardiology Physician
35096539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154321
—
OH
Enumeration date
11/08/2005
Last updated
01/11/2021
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