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Contact Information

ADETUNJI O ADEREMI, PA
6974 GATEWAY BLVD E
SUITE F
EL PASO, TX79915
 Phone: 915-774-8850
 Fax: 915-598-3946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADETUNJI O ADEREMI · (Male)

NPI Number 1437390614
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/17/2009
Last updated 07/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MD License # C0003876
  • TX License # PA06682
  • NM Medicaid 39376214
  • TX Medicaid 313608701
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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