Individual
ADEKUNLE MICHAEL ADESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030
(832) 824-1866
(832) 825-1032
Mailing address
PO BOX 741169, HOUSTON, TX 77274-1169
(832) 824-1866
(832) 825-1032
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
18717
OK
207ZN0500X
Neuropathology Physician
8069
VT
207ZN0500X
Neuropathology Physician
L5213
TX
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
18717
OK
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
8069
VT
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
L5213
TX
207ZP0101X
Anatomic Pathology Physician
18717
OK
207ZP0101X
Anatomic Pathology Physician
8069
VT
207ZP0101X
Anatomic Pathology Physician
Primary
L5213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154439702
—
TX
01
—
154439703
CIDC
TX
Enumeration date
05/25/2006
Last updated
02/28/2008
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