Individual
OLUWAFISAYO O ADEBIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01075235A
IN
207RN0300X
Nephrology Physician
Primary
01075235A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000945973
ANTHEM PTAN
IN
05
—
201288560
—
IN
01
—
264910073
MEDICARE PTAN
IN
01
—
P01597499
RAILROAD PTAN
IN
Enumeration date
04/20/2010
Last updated
06/25/2024
Update your record
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