Individual
MR. OLABODE AGAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
(504) 736-4800
(504) 736-4810
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
327774
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/11/2017
Last updated
10/13/2021
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