Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD470062 | PA |
Y | 208600000X | Surgeon | MD470062 | PA |
N | 208200000X | Surgeon | RL13756 | ND |
N | 208600000X | Surgeon | RL13756 | ND |
NPI | 1013390129 |
---|---|
Provider Name | Seye Adekeye |
First Address | Philadelphia, PA 19107-4944 |
Second Address | Grand Forks, ND 58202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2015 |
Last Update Date | 18/11/2021 |