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Individual

EMMANUEL ADEGOKE FADEYI

Active
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Individual

EMMANUEL ADEGOKE FADEYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
2007-01579
NC
207ZC0006X
Clinical Pathology Physician
Primary
2007-01579
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1464T
BCBS
NC
05
5908038
NC
Enumeration date
09/25/2007
Last updated
01/09/2012
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