Individual
DR. TAIWO AYILEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(256) 429-5196
Mailing address
PO BOX 1814, MADISON, AL 35758-5410
(256) 429-5196
(256) 429-4573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.25598
AL
207R00000X
Internal Medicine Physician
2004025486
MO
207R00000X
Internal Medicine Physician
MD.25598
AL
208M00000X
Hospitalist Physician
Primary
2004025486
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I119336
MEDICARE
—
05
—
1639142599
—
AL
05
—
208758409
—
MO
Enumeration date
02/10/2006
Last updated
01/08/2010
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