Ajayi, Bamidele Anuoluwa

Ajayi, Bamidele Anuoluwa is an individual health care provider with primary practice located at 13425 Hoover Creek Blvd Ste 101 , Charlotte NC 28273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ajayi, Bamidele Anuoluwa can be contacted via phone (704) 384-1246.

Contact Information

Primary practice address
13425 Hoover Creek Blvd Ste 101 Charlotte NC 28273
Phone: (704) 384-1246
Fax: (704) 384-6072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 259100 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2016-00983 North Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 259100 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2016-00983 North Carolina

Profile Details

NPI number 1417995978
LBN Legal business name Ajayi, Bamidele Anuoluwa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 26th, 2020 - about 4 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 1417995978 NPPES
North Carolina MEDICAID 1417995978
North Carolina MEDICAID NC2975

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