Adebisi, Omoniyi Yakubu

Adebisi, Omoniyi Yakubu is an individual health care provider with primary practice located at 3030 Covington Pike Suite 100, Memphis TN 38128-5048. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Adebisi, Omoniyi Yakubu can be contacted via phone (901) 383-8889.

Contact Information

Primary practice address
3030 Covington Pike Suite 100 Memphis TN 38128-5048
Phone: (901) 383-8889
Fax: (901) 383-2245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38880 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 38880 Tennessee

Profile Details

NPI number 1689622128
LBN Legal business name Adebisi, Omoniyi Yakubu
Credentials MD, DABFP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 1st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689622128 NPPES
Tennessee MEDICAID 3896669

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