Adediran, Samuel Gboyega

Adediran, Samuel Gboyega is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Adediran, Samuel Gboyega can be contacted via phone (864) 560-7050.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-7050
Fax: (864) 560-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101264136 Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MT201305 Pennsylvania
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 86536 South Carolina

Profile Details

NPI number 1811259096
LBN Legal business name Adediran, Samuel Gboyega
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Sep 29th, 2021 - about 5 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 1811259096 NPPES
South Carolina MEDICAID 865362
South Carolina Other SCL0183365
South Carolina Other SCL0184746

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