Individual
ADEOLA OVIAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
(765) 502-4709
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082495A
IN
208M00000X
Hospitalist Physician
Primary
01082495A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
12/03/2021
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