Individual
AYODELE ADELEKE OLUSANYA
Active
Individual
AYODELE ADELEKE OLUSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37856
TN
207R00000X
Internal Medicine Physician
Primary
37856
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3895681
—
TN
05
—
3895682
—
TN
05
—
3895683
—
TN
05
—
3895684
—
TN
05
—
3895687
—
TN
01
—
4106219
BCBS
TN
01
—
4109887
BCBS
TN
01
—
4139060
BCBS
TN
01
—
P00376124
RR MEDICARE
TN
01
—
P00380502
RAILROAD MEDICARE
TN
Enumeration date
05/25/2006
Last updated
04/14/2008
Update your record
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