Adefisayo Oduwole (NPI# 1952301830, PAC ID# 4385604198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1952301830 |
| PAC ID by PECOS | 4385604198 |
| Professional Enrollment ID | I20041015000700 |
| Full Name | Adefisayo Oduwole |
| Address |
155 Longcreek Dr Fayetteville GA 30214-5344 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110079 | GRADY MEMORIAL HOSPITAL |
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1247 Donald Lee Hollowell Hwy Nw, Atlanta, GA 30318-6657 | 4046162265 | MOREHOUSE HEALTHCARE, INC. |
| 1513 Cleveland Ave, Bldg 500, East Point, GA 30344-6949 | 4047521000 | MOREHOUSE HEALTHCARE, INC. |
| 1595 Cleveland Ave, East Point, GA 30344-3200 | 4043058086 | MOREHOUSE HEALTHCARE, INC. |
| 155 Longcreek Dr, Fayetteville, GA 30214-5344 |
| Street Address |
155 LONGCREEK DR |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-5344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FAYETTEVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Adefisayo Oduwole.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.