Ajagbe, Olamide Ayotola

Ajagbe, Olamide Ayotola is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ajagbe, Olamide Ayotola can be contacted via phone (315) 464-5450.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-5450
Fax: (315) 464-6322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 261255 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 261255 New York

Profile Details

NPI number 1245470855
LBN Legal business name Ajagbe, Olamide Ayotola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2009
Last updated Aug 27th, 2013 - about 13 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 1245470855 NPPES
New York MEDICAID 03357600

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