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Contact Information

ADEBOLA O ADESANYA, MD
3101 N TARRANT PKWY
FORT WORTH, TX76177-8601
 Phone: 817-639-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADEBOLA O ADESANYA · (Male)

NPI Number 1124080288
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2006
Last updated 08/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K1331
  • TX Medicaid 132360204
  • TX Medicaid 132360207
  • TX Medicaid 132360208
Hospital affiliation(s)
  • ATLANTA MEDICAL CENTER - (Acute Care)
    303 PARKWAY DR NE
    ATLANTA, GA 30312
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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