Adeniyi, Olatokunbo Madupe
Adeniyi, Olatokunbo Madupe is an individual health care provider with primary practice located at 5125 Jonestown Rd Ste 105 , Harrisburg PA 17112-2987. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Adeniyi, Olatokunbo Madupe can be contacted via phone (717) 943-1566.Contact Information
Primary practice address
5125 Jonestown Rd Ste 105
Harrisburg PA 17112-2987
Phone: (717) 943-1566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.133438 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 21580 | West Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21580 | West Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.133438 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD464185 | Pennsylvania |
Profile Details
| NPI number | 1174621809 |
|---|---|
| LBN Legal business name | Adeniyi, Olatokunbo Madupe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 24th, 2018 - about 6 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 | 1174621809 | NPPES |
| West Virginia | MEDICAID | 3810000897 |
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