NPI 1306820121

Moses O. Adeyanju, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Carbondale, IL

Practice location

Address: 405 W Jackson St Pathology Department, Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 351-4957
Mailing address: PO Box 1105, Indianapolis, IN 46206-1105

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 036-077955 (IL)

Other Pathology providers in Illinois →

Registry record

NPI: 1306820121
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2005
Record last updated: 13 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.