Basic Information
| Provider Information | |||||||||
| NPI: | 1457589350 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADARALOYE | ||||||||
| FirstName: | ADETUNJI | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | D.O., M.P.H. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2660 10TH AVE S | ||||||||
| Address2: | POB 1, SUITE 720 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352051605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059302456 | ||||||||
| FaxNumber: | 2059302469 | ||||||||
| Practice Location | |||||||||
| Address1: | 2660 10TH AVE S | ||||||||
| Address2: | POB 1, SUITE 720 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352051605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059302456 | ||||||||
| FaxNumber: | 2059302469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2009 | ||||||||
| LastUpdateDate: | 04/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5101017983 | MI | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 1201 | AL | N | Allopathic & Osteopathic Physicians | Hospitalist | 207Q00000X | 1201 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.