NPI
Olusolape Ajibola Adegbehingbe
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D
- Type
- Individual
- Enumeration date
- 2007-12-10
- Last updated
- 2025-11-17
Specialties
Licenses
- License TX
- S4082
- License WI
- 53929
- License TX
- S4082
- License WI
- 53929
Location
- Practice location
- 3400 Ministry Pkwy
- City
- Weston WI
- Postal code
- 54476-5220
- Phone
- (715) 393-3000
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Weston, WI. 453 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.