Individual
DR. OLUSEGUN M ADEONIGBAGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19203 JAMAICA AVE, HOLLIS, NY 11423-2529
(718) 217-7744
(718) 217-7233
Mailing address
1 NORFOLK DRIVE E, ELMONT, NY 11003
(718) 217-7744
(718) 217-7233
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
201260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000333540101
HEALTHPLUS
—
05
—
01624886
—
NY
01
—
03590
GHI MEDICARE
NY
01
—
111948722AD03
CAREPLUS
—
01
—
201260
HIP
—
01
—
201260-A16
HEALTH FIRST
—
01
—
2506098
GHI
NY
01
—
2588825
AETNA
—
01
—
3C2885
HEALTHNET
—
01
—
3V1542
BLUE CROSS BLUE SHIELD
—
01
—
P00010034
RAILROAD MEDICARE
—
01
—
P1300262
OXFORD
—
01
—
QN0067201
AMERICHOICE
—
Enumeration date
04/26/2006
Last updated
08/04/2008
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