Adefeyisan, Samuel Adekunle

Adefeyisan, Samuel Adekunle is an individual health care provider with primary practice located at 4314 Clayton St , Grand Prairie TX 75052-3433. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Adefeyisan, Samuel Adekunle can be contacted via phone (214) 708-9590.

Contact Information

Primary practice address
4314 Clayton St Grand Prairie TX 75052-3433
Phone: (214) 708-9590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 83699 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD.29707 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 062934 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.2009 Alabama
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 062934 Georgia
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD.29707 Alabama
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 062934 Georgia

Profile Details

NPI number 1568673556
LBN Legal business name Adefeyisan, Samuel Adekunle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 21st, 2024 - about 9 months 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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