Provider Demographics
NPI:1366762874
Name:ADUROJA, OLUFEMI AYOBAMI (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:OLUFEMI
Middle Name:AYOBAMI
Last Name:ADUROJA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 N RESLER DR STE 104-122
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1403
Mailing Address - Country:US
Mailing Address - Phone:915-910-4661
Mailing Address - Fax:
Practice Address - Street 1:100 EXECUTIVE CENTER BLVD STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1136
Practice Address - Country:US
Practice Address - Phone:915-910-4661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR7370207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX668103OtherTX MEDICARE