Adetunji, Ademuyiwa Adekola

Adetunji, Ademuyiwa Adekola is an sole proprietor health care provider with primary practice located at 1450 Mercantile Ln Ste 151, Upper Marlboro MD 20774-5376. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Adetunji, Ademuyiwa Adekola can be contacted via phone (301) 386-5453.

Contact Information

Primary practice address
1450 Mercantile Ln Ste 151 Upper Marlboro MD 20774-5376
Fax: (301) 386-5396
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 01264 Maryland

Profile Details

NPI number 1487638854
LBN Legal business name Adetunji, Ademuyiwa Adekola
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated May 10th, 2017 - about 7 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 1487638854 NPPES
Maryland MEDICAID 319906101

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