Individual
AYOKUNLE FATADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 E MARKET ST, MARTINSVILLE, VA 24112-3747
(276) 632-1856
Mailing address
445 COMMONWEALTH BLVD E STE A, MARTINSVILLE, VA 24112-2087
(276) 632-1856
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0102201991
VA
207Q00000X
Family Medicine Physician
0102201991
VA
2084P0800X
Psychiatry Physician
0102201991
VA
Other
Enumeration date
06/24/2006
Last updated
02/12/2026
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