Provider Demographics
NPI:1528677853
Name:EDEMA, UKUEMI FOLUSAYO (MD)
Entity type:Individual
Prefix:
First Name:UKUEMI
Middle Name:FOLUSAYO
Last Name:EDEMA
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 1:45 ERIEVIEW PLZ APT 1609
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-1910
Mailing Address - Country:US
Mailing Address - Phone:718-920-4695
Mailing Address - Fax:718-405-4000
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-2401
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:718-405-4000
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.153055207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology