Individual
DR. OJO M OLADIMEJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27042
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270423
—
SC
01
—
DF5588
RR MEDICARE GIN/PTAN
SC
05
—
GP4525
—
SC
01
—
P00789441
RAILROAD MEDICARE
SC
01
—
SC24946494
MEDICARE PIN FETTER HEALTH CARE NETWORK
SC
Enumeration date
08/02/2006
Last updated
07/21/2015
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