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Individual
DR. AKINNIYI BABASOLA ODUTOLA
Active
Individual
DR. AKINNIYI BABASOLA ODUTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049829
BMC HEALTHNET #
MA
01
—
0030525
NEIGHBORHOOD HEALTH PLAN #
MA
01
—
210668
PROVIDER CONNECTICARE #
—
05
—
2159821 / 110080500A
—
MA
01
—
2450995
UNITED HEALTHCARE #
—
01
—
32424
PROVIDER HNE #
MA
01
—
3842111
AETNA #
—
01
—
49849
PROVIDER CHILDRENS MEDICAL SECURITY PLAN #
MA
01
—
692538
TUFTS #
—
01
—
8207136
CIGNA
MA
01
—
97431403
NETWORK HEALTH
MA
01
—
J25872
BC/BS NUMBER
MA
01
—
MO0497950A
CSR NUMBER
MA
Enumeration date
04/18/2006
Last updated
03/07/2023
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