Individual
DR. ADENIYI ALATISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-9824
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-9824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101248642
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2008
Last updated
11/14/2018
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