Individual
DR. OLUMIDE T OLAGUNJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 952-9171
(702) 952-9136
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13284776-1205
UT
207R00000X
Internal Medicine Physician
Primary
14674
NV
208M00000X
Hospitalist Physician
13284776-1205
UT
208M00000X
Hospitalist Physician
14674
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285958884
—
NV
01
—
14674
STATE LICENSE
NV
01
—
MD60329818
WA LIC
WA
Enumeration date
03/25/2010
Last updated
05/28/2025
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