Individual provider · Type 1 NPI

Candace A. Adedokun, MD

Student in an Organized Health Care Education/Training Program · Wright Patterson Afb, OH

NPI number 1003639121 Active · reactivated Nov 6, 2024

Practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529

Call (937) 257-9926 Map

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X2023021151 (MO)
Student in an Organized Health Care Education/Training Program Primary 390200000X57.260905 (OH)
General Practice Physician 208D00000X2023021151 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003639121

Candace A. Adedokun, MD's National Provider Identifier is 1003639121, issued on Mar 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wright Patterson Afb, OH. The record was last updated on May 27, 2026.