Provider Demographics
NPI:1023811700
Name:ADELEKE, AYOMIDE (MD, MS)
Entity type:Individual
Prefix:
First Name:AYOMIDE
Middle Name:
Last Name:ADELEKE
Suffix:
Gender:
Credentials:MD, MS
Other - Prefix:
Other - First Name:SEMMY
Other - Middle Name:
Other - Last Name:ADELEKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MS
Mailing Address - Street 1:40 EASTERN AVE # 206
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 EASTERN AVE # 206
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5030
Practice Address - Country:US
Practice Address - Phone:781-417-3891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program