Onaola Adedeji

Individual provider Active NPI Family Medicine Physician · Meridian, MS

NPI 1952155665 · NPPES record last updated Apr 17, 2024

Key facts

NPI
1952155665
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
00000000000000000000 (MS)
Practice address
905C S Frontage Rd
Meridian, MS 39301-6113
Phone
(601) 482-4955
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

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
00000000000000000000MSMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: onaola.adedeji.1@18357.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00000000000000000000 MS Yes

Addresses

Primary practice location

905C S Frontage Rd
Meridian, MS 39301-6113

Mailing address

905C S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 482-4955

Other providers in Meridian, MS

All providers in Meridian, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.