Opeyemi Adesida, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Minneapolis, MN
NPI 1760179485 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1760179485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 420 Delaware Street SE,
MMC 284
Minneapolis, MN 55455-0300 - Phone
- (612) 626-5454
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33610 | MN | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
420 Delaware Street SE,
MMC 284
Minneapolis, MN 55455-0300
Mailing address
420 Delaware Street SE,
MMC 284
Minneapolis, MN 55455-0300
Phone (612) 626-5454
Other providers in Minneapolis, MN
- Sara Isudin Aden
- Sumayo Amay Aden
- Zalma Aden
- Nebiyu H Adenew
- Neha Nanditha Adepu
- Stephen Duton Adetoye
- Afolake A. Adewumi
- Faith Adewunmi
- Anna Adjah Lanes
- Emilio Alexander Adkins
All providers in Minneapolis, MN · Student in an Organized Health Care Education/Training Program in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.