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ADEDIJI OSINLOYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10922 S TRYON ST, SUITE A, CHARLOTTE, NC 28273-4151
(704) 368-7540
(704) 368-7541
Mailing address
10922 S TRYON ST, SUITE A, CHARLOTTE, NC 28273-4151
(704) 368-7540
(704) 368-7541

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2004-01293
NC
207R00000X
Internal Medicine Physician
Primary
200401293
NC
207R00000X
Internal Medicine Physician
31254
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13827
BLUE CROSS BLUE SHIELD
NC
01
26-21400977
PACIFICARE
01
26-2140977
UNITED HEALTHCARE
NC
01
26-2140977
TRICARE
05
5900627
NC
Enumeration date
05/26/2006
Last updated
09/14/2022
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