Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ADEKUNLE OLADEGA AJISEBUTU, MD
DeactivatedMR. ADEKUNLE OLADEGA AJISEBUTU, MD is a Sports Medicine (IM) healthcare provider located in DES MOINES, Iowa. NPI 1235518507 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · DES MOINES, IA
This NPI has been deactivated.
The record was deactivated on January 13, 2016.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235518507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2015 (0.65027322404372 yrs)
- Last Updated
- May 25, 2022
- Deactivated
- Jan 13, 2016
- License
-
MD-47364 (IA)
Practice Information
- Address
-
1350 DES MOINES ST STE 100DES MOINES, IA, 503095507Browse IA providers · Browse ZIP 50309
- Phone
- 5153589600
- Fax
- 5153589650
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in DES MOINES, IA
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD L BURROWS | MD | 1508844317 |
| DR. ROGER T LIU | MD | 1841278595 |
| SARITA KUMARI | MD | 1336209899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.