Individual
DR. AKEEM OLABANJI ADEBOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
12001 SOUTH FWY STE 300, BURLESON, TX 76028-7215
(682) 268-6670
(682) 268-6671
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD044027
DC
207RG0100X
Gastroenterology Physician
3211
WV
207RG0100X
Gastroenterology Physician
35.126515
OH
207RG0100X
Gastroenterology Physician
Primary
T9044
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2011
Last updated
01/12/2023
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