Idowu, Olatunde

Idowu, Olatunde is an individual health care provider with primary practice located at 3950 Austell Rd Box 22, Austell GA 30106-1121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Idowu, Olatunde can be contacted via phone (770) 732-4022.

Contact Information

Primary practice address
3950 Austell Rd Box 22 Austell GA 30106-1121
Phone: (770) 732-4022
Fax: (770) 732-4023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 057374 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 057374 Georgia

Profile Details

NPI number 1417951369
LBN Legal business name Idowu, Olatunde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 9th, 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 1417951369 NPPES
North Carolina MEDICAID 89138C5

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