Abiodun, Olaide Omowonuola
Abiodun, Olaide Omowonuola is an individual health care provider with primary practice located at 1800 E. Florence Blvd Attn: Hospitalist Team, Casa Grande AZ 85122-5303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Abiodun, Olaide Omowonuola can be contacted via phone (480) 543-2034.Contact Information
Primary practice address
1800 E. Florence Blvd Attn: Hospitalist Team
Casa Grande AZ 85122-5303
Phone: (480) 543-2034
Fax: (480) 543-2647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50099 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 50099 | Arizona |
Profile Details
| NPI number | 1316292121 |
|---|---|
| LBN Legal business name | Abiodun, Olaide Omowonuola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jan 13th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316292121 | NPPES |
| Arizona | MEDICAID | 052491 |
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