Obudulu, Rosemary O
Obudulu, Rosemary O is an sole proprietor health care provider with primary practice located at 12315 Evening Bay Dr , Pearland TX 77584-8829. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Obudulu, Rosemary O can be contacted via phone (832) 367-9620.Contact Information
Primary practice address
12315 Evening Bay Dr
Pearland TX 77584-8829
Phone: (832) 367-9620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01057205A | Indiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | M5416 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M5416 | Texas |
Profile Details
| NPI number | 1740215029 |
|---|---|
| LBN Legal business name | Obudulu, Rosemary O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Aug 28th, 2014 - about 12 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 | 1740215029 | NPPES |
| Kentucky | MEDICAID | 64059827 | |
| Kentucky | Other | 000000279227 | |
| Kentucky | Other | 000000386247 | |
| Kentucky | Other | 110246808 | |
| Kentucky | MEDICAID | 200415150 |
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