Organization
CITYBLOCK MEDICAL PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOYIN T AJAYI MD (PRESIDENT AND SOLE SHAREHOLDER)
(833) 904-2273
Entity
Organization
Contact information
Practice address
2301 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5729
(800) 336-1100
Mailing address
495 FLATBUSH AVE STE C5, BROOKLYN, NY 11225-3706
(833) 904-0620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
02/28/2024
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