Gomes, Olubusola
Gomes, Olubusola is an individual health care provider with primary practice located at 1221 Lee St 2Nd Fl, Charlottesville VA 22908-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Gomes, Olubusola can be contacted via phone (434) 924-5219.Contact Information
Primary practice address
1221 Lee St 2Nd Fl
Charlottesville VA 22908-0001
Phone: (434) 924-5219
Fax: (434) 924-9720
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 58764 | Minnesota |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 58764 | Minnesota |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 0101262025 | Virginia |
Profile Details
NPI number | 1518191493 |
---|---|
LBN Legal business name | Gomes, Olubusola |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2009 |
Last updated | Jun 6th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518191493 | NPPES |
Virginia | MEDICAID | 1518191493 |
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