Asebiomo, Bankole Simbo
Asebiomo, Bankole Simbo is an individual health care provider with primary practice located at 3801 Miranda Ave , Palo Alto CA 94304-1207. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Asebiomo, Bankole Simbo can be contacted via phone (229) 391-4100.Contact Information
Primary practice address
3801 Miranda Ave
Palo Alto CA 94304-1207
Phone: (229) 391-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 045706 | Georgia |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 045706 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101242047 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C163303 | California |
Profile Details
| NPI number | 1841301884 |
|---|---|
| LBN Legal business name | Asebiomo, Bankole Simbo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841301884 | NPPES |
| Georgia | MEDICAID | 000849329D | |
| Georgia | MEDICAID | 1841301884 | |
| Georgia | Other | P00417087 |
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