Idera-Abdullah, Omotayo Ayonike

Idera-Abdullah, Omotayo Ayonike is an individual health care provider with primary practice located at 301 Andrews Avenue , Fort Rucker AL 36362-5333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Idera-Abdullah, Omotayo Ayonike can be contacted via phone (344) 255-7137.

Contact Information

Primary practice address
301 Andrews Avenue Fort Rucker AL 36362-5333
Phone: (344) 255-7137
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME119515 Florida

Profile Details

NPI number 1790942308
LBN Legal business name Idera-Abdullah, Omotayo Ayonike
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Sep 2nd, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790942308 NPPES
Florida MEDICAID 012049700

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