Ebunoluwa Ajadi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0116035302 Issued in VA

Practice address

1906 Belleview Ave SE
Roanoke, VA 24014

Phone

(859) 230-6595

NPI assigned

May 18, 2021

Reactivated

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1215501812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "address_2": "MEDICAL EDUCATION BUILDING FL 3",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "859-230-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "859-230-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJADI",
        "first_name": "EBUNOLUWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "deactivation_date": "2023-03-24",
        "reactivation_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0116035302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darakhshan Ahmad
• Hajra Ahmad, MD
• Shahram Ahmadzadeh, M.D.
• Nasreen Ahmed, MBBS
• Jaspreet Singh Ahuja, DO
• Hashem Nabil a Akbar, M.D.
• Elizabeth Aker, ED. S, NCSP
• Cora Beth Akers, MS, CCC-SLP
• Ramin Akhavan, M.D.
• Austin Akins, PA-C

• Surgery Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.