ADEDAYO O MOKUOLU


Address: 2510 Wigwam Pkwy Ste 102, Henderson, NV 89074-7115
Phone: 7022555900

ADEDAYO O MOKUOLU (NPI# 1467485409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467485409
Entity Type Individual
Full Name ADEDAYO O MOKUOLU
Credential MD
Practice Address 2510 Wigwam Pkwy Ste 102
Henderson
NV 89074-7115
Mailing Address 2625 Wigwam Pkwy
Ste 112
Henderson
NV 89074-7326
Practice Telephone 7022555900
Practice Fax Number 7022555980
Mailing Telephone 7022555900
Mailing Fax Number 7022555980
Enumeration Date 2006-07-09
Last Update Date 2020-03-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
12563 NV Allopathic & Osteopathic Physicians

Office Location

Street Address 2510 WIGWAM PKWY STE 102
City HENDERSON
State NV
Zip Code 89074-7115

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194349381 Samuel Taylor Mulford Physical Therapist 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 2020-06-03
1407369127 Brenda Thomas Dental Hygienist 234 Polar Morning Place, Henderson, NV 89074 2017-11-16
1174036479 Gail E Evans Wade Behavioral Analyst 1445 Stone Lake Cove, Henderson, NV 89074 2017-11-08
1710400957 Kimberley Houk Behavioral Analyst 20 Avenida Picasso, Henderson, NV 89074 2017-07-19
1760911846 Colin Ono-moore Physical Therapist 3 Rising Sun Ct, Henderson, NV 89074 2017-06-12
1851825764 Ralph Wieder Dietitian, Registered 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 2017-04-18
1811421712 Henderson Long Term Care LLC Skilled Nursing Facility 2965 Wigwam Parkway, Henderson, NV 89074 2017-04-18
1275994642 Malyna Lavarias Behavioral Analyst 74 N Pecos Rd., Suite C, Henderson, NV 89074 2016-03-14
1144608290 Matthew Roderick Acupuncturist 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 2015-05-08
1922494764 Jennifer Romo Santistevan Pediatrics 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 2015-04-08
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275785420 M Mazen Jamal Md PC Internal Medicine 10624 S Eastern Ave Ste A-158, Henderson, NV 89052-2982 2008-10-21
1518133206 D S Banker M D P C Internal Medicine 2793 Mingary Ave, Henderson, NV 89044-0238 2008-05-02
1225204910 Snehal Rohit Desai M D A Professional Corporation Internal Medicine 2558 Wild Ambrosia Ave, Henderson, NV 89074-2890 2008-05-02
1982772349 Rajat Sood Md Ltd Internal Medicine 2839 Saint Rose Pkwy, 130, Henderson, NV 89052-4848 2006-12-01
1639242613 Audubon Gi Psc Internal Medicine 1413 North Elm St, Suite 105, Henderson, KY 42420-4266 2006-11-16
1356442271 Albert Mason Internal Medicine 2625 Wigwam Pkwy, Suite #112, Henderson, NV 89074-7325 2006-09-25
1346288958 Bipin M Saud Internal Medicine 825 N Gibson Rd Ste 201, Henderson, NV 89011-1708 2006-06-04
1609833540 Desha Aaron Frankel Internal Medicine 1040 Wigwam Pkwy, #110, Henderson, NV 89074-8171 2006-04-26
1578563102 Arumugam Sivakumar Internal Medicine 2637 W Horizon Ridge Pkwy, Ste 140, Henderson, NV 89052-4834 2005-07-26
1982876744 South Hills Gastroenterology LLP Internal Medicine 2625 Wigwam Pkwy, Suite 112, Henderson, NV 89074-7325 2008-04-01
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City HENDERSON
Zip Code 89074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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