Medaiyese, Ayorinde A
Medaiyese, Ayorinde A is an individual health care provider with primary practice located at 1225 S Broadway Ste 201 , Lexington KY 40504-2701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Medaiyese, Ayorinde A can be contacted via phone (859) 258-4568.Contact Information
Primary practice address
1225 S Broadway Ste 201
Lexington KY 40504-2701
Phone: (859) 258-4568
Fax: (859) 258-4698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41772 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200401417 | North Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 41772 | Kentucky |
Profile Details
| NPI number | 1265485544 |
|---|---|
| LBN Legal business name | Medaiyese, Ayorinde A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Feb 23rd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265485544 | NPPES |
| Kentucky | Other | 000000575937 | ANTHEM BLUE CROSS BLUE SHIELD |
| Kentucky | MEDICAID | 7100052150 | ANTHEM BLUE CROSS BLUE SHIELD |
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