Organization
MEDSTAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENIOLA ADEBAYO OKELANA MD, FCCP (DIRECTOR)
(804) 732-0248
Entity
Organization
Contact information
Practice address
433B S SYCAMORE ST, PETERSBURG, VA 23803-5042
(804) 732-0248
(804) 732-8475
Mailing address
433B S SYCAMORE ST, PETERSBURG, VA 23803-5042
(804) 732-0248
(804) 732-8475
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101052627
VA
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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