Shoroye, Olaseni Alexander
Shoroye, Olaseni Alexander is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shoroye, Olaseni Alexander can be contacted via phone (585) 922-5067.Contact Information
Primary practice address
1425 Portland Ave
Rochester NY 14621-3001
Phone: (585) 922-5067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 219348-1 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0102201653 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 038737 | Connecticut |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 13610 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 219348 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 219348-1 | New York |
Profile Details
| NPI number | 1053376509 |
|---|---|
| LBN Legal business name | Shoroye, Olaseni Alexander |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | May 31st, 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 | 1053376509 | NPPES |
| Tennessee | MEDICAID | Q014694 | |
| Tennessee | Other | P01198012 | |
| Tennessee | MEDICAID | 1053376509 | |
| Tennessee | MEDICAID | 010133734 |
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