| Mrs Adeshewa Adekunbi, MD | |
|
1225 W 190th St Ste 280, Gardena, CA 90248-4305 | |
| (877) 515-8113 | |
| Not Available |
| Full Name | Mrs Adeshewa Adekunbi |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1225 W 190th St Ste 280, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083134829 | NPI | - | NPPES |
| 1083134829 | Other | MD | NON-MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 1083134829 (Maryland) | Primary |
| Entity Name | Ehab Yacoub Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Adeshewa Adekunbi, MD 3704 Birkdale Ct, Davidsonville, MD 21035-1172 Ph: (301) 646-1520 | Mrs Adeshewa Adekunbi, MD 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (877) 515-8113 |
Dr. Manuel Ramon Mota-castillo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Dr. Alvin Parker, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Dr. Fabian Onyeka Ogala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Alison Mitchell, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 Fax: 877-538-2102 | |
Ronald G St. Hill, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 877-515-8113 | |
Dr. Scott Bruce Gladstone, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102 |