Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 0101231537 | VA |
NPI | 1376605683 |
---|---|
Provider Name | Dr. Sulola Adekoya |
First Address | Midlothian, VA 23113-6063 |
Second Address | Richmond, VA 23219-3623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 20/02/2020 |