Vaughan, Oladiji Gbolahan

Vaughan, Oladiji Gbolahan is an sole proprietor health care provider with primary practice located at 36351 N Gantzel Rd Ste 127 , San Tan Valley AZ 85140-7033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Vaughan, Oladiji Gbolahan can be contacted via phone (480) 336-2815.

Contact Information

Primary practice address
36351 N Gantzel Rd Ste 127 San Tan Valley AZ 85140-7033
Phone: (480) 336-2815
Fax: (877) 281-3385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 40162 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40162 Arizona

Profile Details

NPI number 1043498520
LBN Legal business name Vaughan, Oladiji Gbolahan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2008
Last updated Jan 31st, 2024 - 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 1043498520 NPPES
Arizona MEDICAID 358032-01

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