Mayowa Abiola Adefuye, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bridgeport, CT
NPI 1992490932 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1992490932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 267 Grant Street, Med Ed Podium 4
Bridgeport, CT 06610 - Phone
- (203) 384-4442
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231005003535 | CT | Order and Referring Only - Internal Medicine |
7719332022 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- madefuye613579@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
267 Grant Street, Med Ed Podium 4
Bridgeport, CT 06610
Mailing address
267 Grant Street, Med Ed Podium 4
Bridgeport, CT 06610
Phone (203) 384-4442
Other providers in Bridgeport, CT
- Harry Adamakos
- Barbara Addi
- Babajide Adebusoye
- Adekola Adedeji
- Zosimo Adefuin
- Abena Ohenewah Adei
- Jite Tobore Adeniran
- Nishob Adhikari
- Edin Adilovic
- Isaac Adjei Opoku
All providers in Bridgeport, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. 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.