Ganiyu, Kehinde M

Ganiyu, Kehinde M is an sole proprietor health care provider with primary practice located at 3333 W Deyoung St , Marion IL 62959-5884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ganiyu, Kehinde M can be contacted via phone (618) 998-7000.

Contact Information

Primary practice address
3333 W Deyoung St Marion IL 62959-5884
Phone: (618) 998-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036068226 Illinois

Profile Details

NPI number 1043278237
LBN Legal business name Ganiyu, Kehinde M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Feb 2nd, 2009 - about 16 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 1043278237 NPPES
Illinois Other 3932056 BLUE SHIELD
Illinois MEDICAID 036068226-1 BLUE SHIELD
Illinois MEDICAID 036068226-7 BLUE SHIELD

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