Abidemi A Adegbola, MD
Psychiatry & Neurology, Psychiatry in Philadelphia, Pennsylvania
1669544169- Practice location
- 3905 Ford RD, Suite 6, Philadelphia, PA 19131-2824
- Phone
- 215-220-2196
- Fax
- —
- Last updated
- June 17, 2021
Abidemi A Adegbola, MD is a Psychiatry & Neurology, Psychiatry based in Philadelphia, PA. Abidemi A Adegbola, MD holds the professional credentials of MD. The NPI number for Abidemi A Adegbola, MD is 1669544169 and holds license No. 227766 (MA). The current practice location address is 3905 Ford RD, Suite 6, Philadelphia, PA 19131-2824 and the office can be reached by phone at 215-220-2196. The NPI was assigned on November 14, 2006 and the record was last updated in NPPES on June 17, 2021.
●Provider Profile Details
- NPI Number
- 1669544169
- Provider Name
- Abidemi Adetoyese Adegbola
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Enumeration Date
- November 14, 2006
- Last Update Date
- June 17, 2021
- Certification Date
- June 17, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3905 Ford RD
Suite 6
Philadelphia, PA 19131-2824 - City
- Philadelphia
- State
- Pennsylvania
- ZIP
- 19131-2824
- Country
- US
- Phone Number
- 215-220-2196
✉Business Mailing Address
- Address
- 834 Chestnut St
Ph113
Philadelphia, PA 19107-5127 - City
- Philadelphia
- State
- PA
- ZIP
- 19107-5127
- Phone Number
- 314-348-4546
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Medical Genetics, Clinical Genetics (M.D.) | 207SG0201X | No | 227766 | MA |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | No | 13062 | NH |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | No | 13062 | NH |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | Yes | MD446583 | PA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Philadelphia →?Frequently Asked Questions
What is the NPI number of Abidemi A Adegbola, MD?
The NPI number of Abidemi A Adegbola, MD is 1669544169. It was assigned on November 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Abidemi A Adegbola, MD?
Abidemi A Adegbola, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X) and holds license No. 227766 (MA).
Where does Abidemi A Adegbola, MD practice?
The practice location is 3905 Ford RD, Suite 6, Philadelphia, PA 19131-2824. The office can be reached at 215-220-2196 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669544169 directly on the NPPES registry website at npiregistry.cms.hhs.gov.