Individual
ADEBOWALE ADELEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 341-2909
(256) 301-0053
Mailing address
131 MISTY RIVER LN SW, HUNTSVILLE, AL 35824-3123
(256) 461-1400
(314) 754-9148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD28097
AL
208M00000X
Hospitalist Physician
2001027302
MO
208M00000X
Hospitalist Physician
Primary
28097
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051558947
—
AL
05
—
109026
—
AL
05
—
205706203
—
MO
01
—
515-97242
BCBS
AL
Enumeration date
05/17/2006
Last updated
12/14/2009
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