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John A Adeniyi, MD,FACS
Vascular Surgery Physician in Bridgeport, West Virginia
NPI 1306920756

John A Adeniyi is a Vascular Surgery Physician based in Bridgeport, WV and is specialized in Vascular Surgery. John A Adeniyi practices in Bridgeport, WV and has the professional credentials of MD,FACS. The NPI Number for John A Adeniyi is 1306920756 and holds a License No. WV21293 (West Virginia).

The current practice location address for John A Adeniyi is 527 Medical Park Dr Ste 501, Bridgeport, WV and can be reached out via phone at 304-842-3993 and via fax at 304-842-4083.

Location: 527 Medical Park Dr Ste 501, Bridgeport, WV, 26330-0890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306920756
Provider Name
John A Adeniyi
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
527 Medical Park Dr Ste 501, Bridgeport, WV, 26330-0890
Phone Number
304-842-3993
Fax Number
304-842-4083
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00093109 01 WV RR MC
001719007 01 WV BCBS
3810000654 05 WV
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr Ste 501
City
Bridgeport
State
West Virginia
Zip
26330
Phone Number
304-842-3993
Fax Number
304-842-4083
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr Ste 501
City
Bridgeport
State
West Virginia
Zip
26330
Phone Number
304-842-3993
Fax Number
304-842-4083
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
WV21293 (West Virginia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
WV21293 (West Virginia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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