Kuku, Adekunle Gbadegesin

Kuku, Adekunle Gbadegesin is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kuku, Adekunle Gbadegesin can be contacted via phone (505) 368-6401.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Fax: (505) 368-6431
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01062251A Indiana

Profile Details

NPI number 1033225248
LBN Legal business name Kuku, Adekunle Gbadegesin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Apr 9th, 2021 - about 4 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 1033225248 NPPES
Colorado MEDICAID 09674381
Colorado MEDICAID 17521246
Colorado MEDICAID 129017

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