Individual
OLUSOLA ISIKALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2712 CRISWELL AVE, PASCAGOULA, MS 39567-1143
(228) 762-0713
(228) 762-0712
Mailing address
2712 CRISWELL AVE, PASCAGOULA, MS 39567-1143
(228) 762-0713
(228) 762-0712
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
26732
MS
207RN0300X
Nephrology Physician
Primary
26732
MS
Other
Enumeration date
03/27/2013
Last updated
09/10/2019
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