Bolaji, Olubukola David
Bolaji, Olubukola David is an individual health care provider with primary practice located at 8700 Sudley Rd , Manassas VA 20110-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bolaji, Olubukola David can be contacted via phone (703) 396-5292.Contact Information
Primary practice address
8700 Sudley Rd
Manassas VA 20110-4418
Phone: (703) 396-5292
Fax: (703) 396-5297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M3919 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101261217 | Virginia |
Profile Details
| NPI number | 1497750277 |
|---|---|
| LBN Legal business name | Bolaji, Olubukola David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | May 18th, 2023 - about 3 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 | 1497750277 | NPPES |
| Texas | Other | 5461151 | AETNA |
| Texas | Other | 8P5794 | AETNA |
| Texas | MEDICAID | 180925301 | AETNA |
| Texas | MEDICAID | 0284562 | AETNA |
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