Provider Demographics
NPI:1053137174
Name:ADELEYE, RASHIDAT G
Entity type:Individual
Prefix:
First Name:RASHIDAT
Middle Name:G
Last Name:ADELEYE
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 1:5517 ACORN WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224-6182
Mailing Address - Country:US
Mailing Address - Phone:317-748-7957
Mailing Address - Fax:
Practice Address - Street 1:5517 ACORN WOODS CIR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-6182
Practice Address - Country:US
Practice Address - Phone:317-748-7957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider