Individual
DR. OLUMIDE OLUREMI OLUWABUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, MRCPSYCH
Contact information
Practice address
4641 ROOSEVELT BOULEVARD, SCATTERGOOD BLDG, SUITE E 218, DREXEL UNIVERSITY COLLEGE OF MEDICINE, FRIENDS HOSPITAL, PHILADELPHIA, PA 19124
(215) 831-4041
Mailing address
4641 ROOSEVELT BLVD ,SCATTERGOOD BUILDING, SUITE E 218, DREXEL UNIVERSITY COLLEGE OF MEDICINE FRIENDS HOSPITAL, PHILADELPHIA, PA 19124-2343
(215) 762-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD441059
PA
2084P0800X
Psychiatry Physician
Primary
MT190474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD441059
PENNSYLVANIA STATE BOARD OF MEDICINE, M.D., PRACTICE LICENSE,
PA
01
—
MT190474
PENNSYLVANIA, MEDICAL TRAINING LICENCE
PA
Enumeration date
07/23/2009
Last updated
09/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us