Provider Demographics
NPI:1447003116
Name:OLAKUNLE-ADESINA, ENIOLAHUN OLAOLUWA (MD)
Entity type:Individual
Prefix:DR
First Name:ENIOLAHUN
Middle Name:OLAOLUWA
Last Name:OLAKUNLE-ADESINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5475 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3453
Mailing Address - Country:US
Mailing Address - Phone:412-361-7562
Mailing Address - Fax:412-361-7640
Practice Address - Street 1:5475 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3453
Practice Address - Country:US
Practice Address - Phone:412-361-7562
Practice Address - Fax:412-361-7640
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program