NPI 1003639121 · live from the CMS NPI Registry
Candace A Adedokun, MD
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, OH. National Provider Identifier 1003639121, active.
NPI record
| NPI | 1003639121 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 |
| Practice phone | 937-257-9926 |
| Mailing address | 4881 Sugar Maple Dr, Wright Pat, OH 45433 |
| Enumerated | March 12, 2021 |
| Last updated | May 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 2023021151 (MO) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | 57.260905 (OH) |
| General Practice | 208D00000X | 2023021151 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.