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Organization

OLAKUNLE D. AJANAKU, MD. PC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLAKUNLE D AJANAKU M.D. (OWNER)
(918) 758-3536
Entity
Organization

Contact information

Practice address
1101 S BELMONT AVE, SUITE 104, OKMULGEE, OK 74447-6315
(918) 758-3536
(918) 758-3537
Mailing address
1101 S BELMONT AVE, SUITE 104, OKMULGEE, OK 74447-6315
(918) 758-3536
(918) 758-3537

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18655
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030662440003
BCBS
OK
05
100002630D
OK
05
100002630F
OK
01
5030315
AETNA
OK
Enumeration date
05/23/2007
Last updated
08/28/2008
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