Individual
DR. ADENIYI FARUK KOIKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 HOSPITAL ST, MOULTON, AL 35650-1218
(205) 974-2200
Mailing address
5323 DIXIELAND RD, IRONDALE, AL 35210-2914
(205) 915-9451
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00020062
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009987875
—
AL
01
—
51001137KOI
BLUE SHIELD
AL
Enumeration date
06/04/2006
Last updated
10/13/2011
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