Olade, Roger B

Olade, Roger B is an sole proprietor health care provider with primary practice located at 12155 Shadow Creek Pkwy Ste 114 , Pearland TX 77584-7289. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Olade, Roger B can be contacted via phone (832) 263-7490.

Contact Information

Primary practice address
12155 Shadow Creek Pkwy Ste 114 Pearland TX 77584-7289
Phone: (832) 263-7490
Fax: (888) 977-1299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32339 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Q2173 Texas

Profile Details

NPI number 1063417715
LBN Legal business name Olade, Roger B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2005
Last updated Dec 4th, 2023 - about 2 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 1063417715 NPPES
Georgia MEDICAID 565632720A

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