National Provider Identifier Database

ADEBOLA O ADESANYA, MD – NPI #1124080288
Critical Care Medicine

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

ADEBOLA O ADESANYA, MD
3101 N TARRANT PKWY
FORT WORTH, TX76177-8601
Phone: 817-639-1000
Fax:
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207LC0200X
Anesthesiology 207L00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for ADEBOLA O ADESANYA

NPI Number 1124080288
Credentials MD
Entity Individual
Enumeration date 04/04/2006
Last updated 08/05/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • TX License #: K1331
  • TX Medicaid: 132360204
  • TX Medicaid: 132360207
  • TX Medicaid: 132360208
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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