Falase, Ekundayo Adedapo

Falase, Ekundayo Adedapo is an sole proprietor health care provider with primary practice located at 1612 Milstead Rd Ne Suite A, Conyers GA 30012-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Falase, Ekundayo Adedapo can be contacted via phone (678) 413-3261.

Contact Information

Primary practice address
1612 Milstead Rd Ne Suite A Conyers GA 30012-3738
Phone: (678) 413-3261
Fax: (678) 413-3580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 044714 Georgia

Profile Details

NPI number 1053314823
LBN Legal business name Falase, Ekundayo Adedapo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Apr 14th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053314823 NPPES
Georgia MEDICAID 000924536B

Popular Providers