Provider Demographics
NPI:1255368486
Name:AJAYI, ADEKUNLE (MD)
Entity type:Individual
Prefix:
First Name:ADEKUNLE
Middle Name:
Last Name:AJAYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8965 S PECOS RD STE 10B
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7159
Mailing Address - Country:US
Mailing Address - Phone:702-826-4942
Mailing Address - Fax:702-826-2191
Practice Address - Street 1:5900 W ROCHELLE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3304
Practice Address - Country:US
Practice Address - Phone:702-364-1111
Practice Address - Fax:702-364-8183
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2018-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV107242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVH19490Medicare UPIN