Ajegba, Folashade O

Ajegba, Folashade O is an individual health care provider with primary practice located at 990 Stewart Ave Suite 400, Garden City NY 11530-4822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ajegba, Folashade O can be contacted via phone (516) 222-2022.

Contact Information

Primary practice address
990 Stewart Ave Suite 400 Garden City NY 11530-4822
Phone: (516) 222-2022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 274344-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 48693 Connecticut

Profile Details

NPI number 1275726515
LBN Legal business name Ajegba, Folashade O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Mar 8th, 2017 - about 7 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 1275726515 NPPES
Ohio MEDICAID 3101093
Ohio Other P00891133

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