Provider Demographics
NPI:1124913629
Name:ADEKOYA, OMOWUNWI OMOBOSEDE (MD)
Entity type:Individual
Prefix:
First Name:OMOWUNWI
Middle Name:OMOBOSEDE
Last Name:ADEKOYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OMOWUNWI
Other - Middle Name:OMOBOSEDE
Other - Last Name:KULOYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4348 ELECTRIC RD
Mailing Address - Street 2:CARILION CLINIC PEDIATRIC RESIDENCY C/OMICHELLE BOTELHO
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018
Mailing Address - Country:US
Mailing Address - Phone:540-769-0763
Mailing Address - Fax:540-725-2156
Practice Address - Street 1:4348 ELECTRIC RD
Practice Address - Street 2:CARILION CLINIC PEDIATRIC RESIDENCY C/OMICHELLE BOTELHO
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018
Practice Address - Country:US
Practice Address - Phone:540-769-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program