Individual
MR. ADEKUNLE ADEDAYO ADEDEJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8623 N LOOP DR STE A, EL PASO, TX 79907-4520
(915) 881-4155
(915) 881-4172
Mailing address
8623 N LOOP DR STE A, EL PASO, TX 79907-4520
(915) 881-4155
(915) 881-4172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N3416
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
N3416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100976-03
WELLMED MEDICAID
TX
01
—
TXB116628
WELLMED MEDICARE
TX
01
—
TXB158260
MEDICARE PTAN
TX
Enumeration date
11/07/2007
Last updated
05/28/2024
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