Individual
SHAMUSIDEEN OLAYIBO OGBULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 JEFFERSON STREET, WHITEVILLE, NC 28472-3634
(910) 642-1776
Mailing address
PO BOX 601992, CHARLOTTE, NC 28260-1992
(910) 642-1776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065806A
IN
207R00000X
Internal Medicine Physician
2011-01350
NC
208M00000X
Hospitalist Physician
0101258916
VA
208M00000X
Hospitalist Physician
01065806A
IN
208M00000X
Hospitalist Physician
Primary
2011-01350
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000584350
ANTHEM PIN
IN
05
—
200913430
—
IN
05
—
5918627
—
NC
05
—
NC1486
—
SC
01
—
P00657204
RR MEDICARE PIN
IN
Enumeration date
09/08/2008
Last updated
08/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us