Agawu, Atu
Agawu, Atu is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Agawu, Atu can be contacted via phone (323) 660-2450.Contact Information
Primary practice address
4650 W Sunset Blvd
Los Angeles CA 90027-6062
Phone: (323) 660-2450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MT208138 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD464218 | Pennsylvania |
Profile Details
| NPI number | 1174903108 |
|---|---|
| LBN Legal business name | Agawu, Atu |
| Credentials | M.D. M.P.H |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2015 |
| Last updated | Nov 16th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174903108 | NPPES |
| Pennsylvania | MEDICAID | 1035057440001 |
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