1114832938 NPI number — DR. AYO-OLUWA ADEOLA ADESANYA MD

Table of content: DR. AYO-OLUWA ADEOLA ADESANYA MD (NPI 1114832938)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114832938 NPI number — DR. AYO-OLUWA ADEOLA ADESANYA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADESANYA
Provider First Name:
AYO-OLUWA
Provider Middle Name:
ADEOLA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114832938
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2850 DELK RD SE APT 27D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARIETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30067-5374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
441-239-1082
Provider Business Mailing Address Fax Number:
441-239-1083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
KING EDWARD VII MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
7 POINT FINGER ROAD
Provider Business Practice Location Address City Name:
PAGET
Provider Business Practice Location Address State Name:
BERMUDA
Provider Business Practice Location Address Postal Code:
DV004
Provider Business Practice Location Address Country Code:
BM
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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