Individual
EBUNOLUWA AJADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014
(859) 230-6595
Mailing address
1906 BELLEVIEW AVE SE, MEDICAL EDUCATION BUILDING FL 3, ROANOKE, VA 24014
(859) 230-6595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0116035302
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2021
Last updated
06/07/2023
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