Individual
ADEBOWALE I AJAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D045217
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125931800
—
MD
01
—
75859903
BLUE SHIELD
MD
01
—
P00379380
RAILROAD MED
MD
Enumeration date
05/15/2006
Last updated
10/19/2011
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