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Contact Information

ADEKUNLE A ADEDEJI, MD
8623 N LOOP DR STE A
EL PASO, TX79907-4520
 Phone: 915-881-4155
 Fax: 915-881-4172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ADEKUNLE A ADEDEJI · (Male)

NPI # 1902086937
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2007
Last updated 05/28/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # N3416
  • TX Other TXB158260 MEDICARE PTAN
  • TX Other 2100976-03 WELLMED MEDICAID
  • TX Other TXB116628 WELLMED MEDICARE
Hospital affiliation(s)
  • PROVIDENCE MEMORIAL HOSPITAL - (Acute Care)
    2001 N OREGON ST
    EL PASO, TX 79902
  • SIERRA PROVIDENCE EAST MEDICAL CENTER - (Acute Care)
    3280 JOE BATTLE BLVD
    EL PASO, TX 79938
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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