Adesanya, Olubukunola

Adesanya, Olubukunola is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Adesanya, Olubukunola can be contacted via phone (806) 354-5630.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 354-5630
Fax: (806) 354-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2003-0634 New Mexico
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X N4234 Texas

Profile Details

NPI number 1447356803
LBN Legal business name Adesanya, Olubukunola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 17th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447356803 NPPES
Texas MEDICAID 220514801
Texas MEDICAID 220514802
Texas Other NM009K99
Texas MEDICAID 200340390 A
Texas MEDICAID 47426781

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