Oduwole, Adefisayo
Oduwole, Adefisayo is an individual health care provider with primary practice located at 80 Jesse Hill Jr Dr Se Ste 2E, Atlanta GA 30303-3031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Oduwole, Adefisayo can be contacted via phone (404) 616-4422.Contact Information
Primary practice address
80 Jesse Hill Jr Dr Se Ste 2E
Atlanta GA 30303-3031
Phone: (404) 616-4422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 042381 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042381 | Georgia |
Profile Details
| NPI number | 1952301830 |
|---|---|
| LBN Legal business name | Oduwole, Adefisayo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | May 7th, 2020 - about 6 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 | 1952301830 | NPPES |
| Georgia | MEDICAID | 000728407U | |
| Georgia | MEDICAID | 000728417C | |
| Georgia | MEDICAID | 000728407C |
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