Anifowoshe, Olumide Ibrahim

Anifowoshe, Olumide Ibrahim is an individual health care provider with primary practice located at 200 Stonecrest Blvd , Smyrna TN 37167-6810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Anifowoshe, Olumide Ibrahim can be contacted via phone (615) 768-2000.

Contact Information

Primary practice address
200 Stonecrest Blvd Smyrna TN 37167-6810
Fax: (615) 768-2707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37852 Tennessee

Profile Details

NPI number 1972558286
LBN Legal business name Anifowoshe, Olumide Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 3rd, 2008 - about 17 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 1972558286 NPPES
Tennessee MEDICAID 38892822

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