Individual
OLUSEGUN ADEBISI POPOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, CCRP
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(738) 733-4501
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01090273A
IN
2084P0800X
Psychiatry Physician
036164639
IL
2084P0800X
Psychiatry Physician
Primary
U0419
TX
2084P0802X
Addiction Psychiatry Physician
U0419
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2018
Last updated
10/01/2024
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