Ayodele, Maranatha

Ayodele, Maranatha is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is her primary health care specialty. Ayodele, Maranatha can be contacted via phone (310) 423-2000.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME123858 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A115049 California
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X A115049 California

Profile Details

NPI number 1043442197
LBN Legal business name Ayodele, Maranatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2009
Last updated Dec 2nd, 2019 - about 5 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 1043442197 NPPES
California MEDICAID 1043442197

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