Awodipe, Abimbola Y.

Awodipe, Abimbola Y. is an individual health care provider with primary practice located at 1936 Amelia Ct Geriatric Center & Senior Services, Dallas TX 75235-7706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Awodipe, Abimbola Y. can be contacted via phone (214) 590-8369.

Contact Information

Primary practice address
1936 Amelia Ct Geriatric Center & Senior Services Dallas TX 75235-7706
Phone: (214) 590-8369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L9610 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X L9610 Texas

Profile Details

NPI number 1508833203
LBN Legal business name Awodipe, Abimbola Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 30th, 2012 - about 14 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 1508833203 NPPES
Texas Other 8P9008 BLUE CROSS BLUE SHIELD
Texas MEDICAID 168390604 BLUE CROSS BLUE SHIELD
Texas MEDICAID 168390602 BLUE CROSS BLUE SHIELD
Texas MEDICAID 178299701 BLUE CROSS BLUE SHIELD

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