Ajayi, Olaide Ifelola

Ajayi, Olaide Ifelola is an individual health care provider with primary practice located at 776 Weatherly Dr Suite A, Clarksville TN 37043-8941. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ajayi, Olaide Ifelola can be contacted via phone (931) 906-2004.

Contact Information

Primary practice address
776 Weatherly Dr Suite A Clarksville TN 37043-8941
Phone: (931) 906-2004
Fax: (931) 906-2009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0066606 Maryland
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 48841 Tennessee

Profile Details

NPI number 1952590705
LBN Legal business name Ajayi, Olaide Ifelola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Jul 27th, 2012 - 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 1952590705 NPPES
Pennsylvania MEDICAID 102101696-0001
Pennsylvania MEDICAID 413550400
Pennsylvania Other P00461544
Pennsylvania MEDICAID 3810010307

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