Ajayi, Andrea Baowang

Ajayi, Andrea Baowang is an individual health care provider with primary practice located at 1800 Harrison St 7Th Floor, Oakland CA 94612-3466. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ajayi, Andrea Baowang can be contacted via phone (510) 625-6262.

Contact Information

Primary practice address
1800 Harrison St 7Th Floor Oakland CA 94612-3466
Fax: (510) 625-6226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A72668 California

Profile Details

NPI number 1164413472
LBN Legal business name Ajayi, Andrea Baowang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 6th, 2009 - about 15 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 1164413472 NPPES
California MEDICAID 00A726880

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