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Individual Provider

OLUWAROTIMI ADESINA, M.D.

NPI 1164837514 Active Pediatrics, Sports Medicine
Quick Facts
NPI Number
1164837514
Type
Individual (NPI-1)
Credential
M.D.
Status
Active
Enumeration Date
2014-06-24
Last Updated (NPPES)
2022-07-26

Primary Specialty / Taxonomy

TaxonomyPediatrics, Sports Medicine
Taxonomy Code2080S0010X
LicenseS1546 TX

Other Taxonomies

  • Pediatrics — License MT207580
  • Pediatrics — License S1546
  • Pediatrics, Sports Medicine — License MT207580

Practice Address

7125 NEW SANGER AVE STE 516
WACO, TX 767124054

Phone: 254-752-9638

Mailing Address

PO BOX 18962
BELFAST, ME 049154084

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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