ADEBAYO A. ADESOMO MD NPI 1265967442

NPI Information

NPI: 1265967442
Provider Name: ADEBAYO A. ADESOMO, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
30 N 1900 E RM 2B200
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 213-3716
Get Directions

Adebayo A. Adesomo, MD is an obstetrics gynecology in Salt Lake City, UT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Adebayo A. Adesomo, MD NPI is 1265967442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 N 1900 E RM 2B200
SALT LAKE CITY, UT
ZIP 84132-209
Phone: (801) 213-3716

The NPI 1265967442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2017 and was last updated on 10/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	12208312-1205	UTAH	No
2	207V00000X	Obstetrics & Gynecology		12208312-1205	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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