Individual
DR. ADEJARE WINDOKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1845 MCCULLOCH BLVD N STE A12, LAKE HAVASU CITY, AZ 86403-6777
(928) 302-1505
Mailing address
1845 MCCULLOCH BLVD N STE A12, LAKE HAVASU CITY, AZ 86403-6777
(928) 302-1505
(310) 999-6587
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01065872A
IN
207L00000X
Anesthesiology Physician
Primary
41043
AZ
207L00000X
Anesthesiology Physician
A90058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000593704
ANTHEM PROVIDER NUMBER
IN
05
—
200523260
—
IN
Enumeration date
08/11/2007
Last updated
12/02/2025
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