Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ismael Gbolahan Moradeyo, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417743956

Dr. Ismael Gbolahan Moradeyo, DO is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1125 N College Ave
Fayetteville, AR 72703-1908
Phone: (479) 444-7820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417743956
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

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