Adediji, Fausat A

Adediji, Fausat A is an individual health care provider with primary practice located at 4502 E. 41St Street Ou Department Of Pediatrics, Tulsa OK 74135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Adediji, Fausat A can be contacted via phone (918) 660-3416.

Contact Information

Primary practice address
4502 E. 41St Street Ou Department Of Pediatrics Tulsa OK 74135
Phone: (918) 660-3416
Fax: (918) 660-3426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27247 Oklahoma

Profile Details

NPI number 1629206941
LBN Legal business name Adediji, Fausat A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 25th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629206941 NPPES
Oklahoma Other 27247 OKLAHOMA MEDICAL LICENSE

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