Provider Demographics
NPI:1730607094
Name:ABIOYE, ADEFUNMIKE ADERIYIKE
Entity type:Individual
Prefix:
First Name:ADEFUNMIKE
Middle Name:ADERIYIKE
Last Name:ABIOYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 S UTICA AVE APT 613
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-5157
Mailing Address - Country:US
Mailing Address - Phone:918-805-3230
Mailing Address - Fax:
Practice Address - Street 1:7110 SOUTH UTICA AV.
Practice Address - Street 2:APT 613
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-805-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator