Adeyemi Adesomo, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Reno, NV

NPI 1215876263 · NPPES record last updated May 11, 2026

Key facts

NPI
1215876263
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
745 W Moana LN Ste 300
Reno, NV 89509-4980
Phone
(775) 982-4100
NPI assigned
Mar 26, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

745 W Moana LN Ste 300
Reno, NV 89509-4980

Mailing address

745 W Moana LN
Reno, NV 89509-4991
Phone (775) 982-4100

Other providers in Reno, NV

All providers in Reno, NV · Student in an Organized Health Care Education/Training Program in Nevada

Sources for this page

Verify at the official NPI Registry.