Individual
DR. ADEBAYO AYODEJI FASANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 208-4601
(833) 764-3814
Mailing address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 208-4601
(833) 764-3814
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-10794
AR
207RP1001X
Pulmonary Disease Physician
Primary
E-10794
AR
Other
Enumeration date
07/18/2012
Last updated
01/14/2026
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