Oladele-Ajose, Olufemi Taiwo

Oladele-Ajose, Olufemi Taiwo is an individual health care provider with primary practice located at 2111 E Denman Ave , Lufkin TX 75901-6243. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Oladele-Ajose, Olufemi Taiwo can be contacted via phone (936) 244-0659.

Contact Information

Primary practice address
2111 E Denman Ave Lufkin TX 75901-6243
Phone: (936) 244-0659
Fax: (936) 899-7243
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N9394 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32077 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N9394 Texas

Profile Details

NPI number 1205808318
LBN Legal business name Oladele-Ajose, Olufemi Taiwo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Mar 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205808318 NPPES
Iowa MEDICAID 2165803
Iowa Other TXB149485
Iowa Other 49346

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