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BENJAMIN ADEWALE MD PC NPI 1821015264


NPI Information

NPI: 1821015264
Provider Name: BENJAMIN ADEWALE MD PC

Doing Business As: RIVERSIDE MENTAL HEALTH LLC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
7011 CALAMO ST
#105
SPRINGFIELD, VA
ZIP 22150
Phone: (703) 569-8028
Get Directions

BENJAMIN ADEWALE MD PC is a neurology psychiatry neurology in Springfield, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BENJAMIN ADEWALE MD PC NPI is 1821015264. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Mental Health Llc.

The provider's business location address is:

7011 CALAMO ST
#105
SPRINGFIELD, VA
ZIP 22150
Phone: (703) 569-8028
Fax: (703) 569-8085

The provider's authorized official is Benjamin Adyson Adenwale .
The authorized official title is Medical Director Md and has the following contact phone number (703) 569-8028.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 1/17/2018.


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
12084N0400XPsychiatry & NeurologyNeurologyYes
22084P0800XPsychiatry & NeurologyPsychiatryNo
3261QV0200XClinic/CenterVA0101054165VIRGINIANo
4363L00000XNurse PractitionerNo

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: 5/5/2024

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