Doctor Name: | OLUFEMI ADELEYE |
NPI Number: | 1073567251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18315 |
Business Practice Address: | 1890 Goodman Rd E Suite 101 Southaven, MS - 386719504 |
Business Phone Number: | 6625361892 |
Business Fax Number: | |
Mailing Address: | Po Box 366, SOUTHAVEN |
State: | MS |
Postal Code: | 386710005 |
Phone Number: | 9016819895 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 10/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 18315 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |