Adeshola Okuwoga, CSFA

Individual provider Active NPI Surgical Assistant · Newport News, VA

NPI 1346945516 · NPPES record last updated Apr 5, 2023

Key facts

NPI
1346945516
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Assistant 246ZC0007X
License
0136000748 (VA)
Practice address
2 Bernardine Dr
Newport News, VA 23602-4404
Phone
(757) 886-6000
NPI assigned
Apr 5, 2023
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
0136000748VAMDSurgical Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 0136000748 VA Yes

Addresses

Primary practice location

2 Bernardine Dr
Newport News, VA 23602-4404

Mailing address

5198 Arlington Ave # 713
Riverside, CA 92504-2603
Phone (240) 524-1558

Other providers in Newport News, VA

All providers in Newport News, VA · Surgical Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.