Individual
ROTIMI A ILUYOMADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6922 LITTLE RIVER TPKE STE D, ANNANDALE, VA 22003-3285
(703) 705-9306
(703) 890-3114
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101221294
VA
207P00000X
Emergency Medicine Physician
Primary
D0042228
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521582
BCBS
KY
01
—
000000805251
BCBS- BAPTIST HEALTH MADISONVILLE
KY
05
—
64013972
—
KY
Enumeration date
01/04/2006
Last updated
04/19/2023
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