GBENGA A ADEYEYE, DO BALTIMORE, MD

Contact Information

GBENGA A ADEYEYE, DO

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-3901

Phone: 757-619-2749
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for GBENGA A ADEYEYE · (Male)

NPI #	`1053654814`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	03/30/2013
Last updated	04/03/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	MD License # C05998 NY License # 330954 VA License # 0110004213 VA Medicaid 1053654814 VA Other 178PY BCBSNC VA Other 493474 BCBSVA VA Other 10106951P OPTIMA HEALTH PLAN VA Other 10112734P OPTIMA HEALTH PLAN VA Other P01192419 RAILROAD MEDICARE VA Other 10106951P SENTARA HEALTH PLAN VA Other 10112734P SENTARA HEALTH PLAN VA Other 1053654814 TRICARE PRIME NETWORK
Hospital affiliation(s)	Not Available

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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GBENGA A ADEYEYE, DO – NPI #1053654814Vascular & Interventional Radiology

Contact Information

Specialty

Vascular & Interventional Radiology

Physician Assistant

NPI Profile & details for GBENGA A ADEYEYE · (Male)

Reviews for GBENGA A ADEYEYE

GBENGA A ADEYEYE, DO – NPI #1053654814
Vascular & Interventional Radiology