Adediran, Samuel Gboyega
Adediran, Samuel Gboyega is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Adediran, Samuel Gboyega can be contacted via phone (864) 560-7050.Contact Information
Primary practice address
101 E Wood St
Spartanburg SC 29303-3040
Phone: (864) 560-7050
Fax: (864) 560-0800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101264136 | Virginia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MT201305 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 86536 | South Carolina |
Profile Details
| NPI number | 1811259096 |
|---|---|
| LBN Legal business name | Adediran, Samuel Gboyega |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Sep 29th, 2021 - about 3 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 | 1811259096 | NPPES |
| South Carolina | MEDICAID | 865362 | |
| South Carolina | Other | SCL0183365 | |
| South Carolina | Other | SCL0184746 |
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