Individual
OLUWAFISAYO O ADEBIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 N UNIVERSITY BLVD., STE 2180, INDIANAPOLIS, IN 46202-5149
(317) 944-4370
(317) 948-1289
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
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
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