Idowu, Olubayo A
Idowu, Olubayo A is an sole proprietor health care provider with primary practice located at 2727 Bolton Boone Dr #102, Desoto TX 75115-2019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Idowu, Olubayo A can be contacted via phone (972) 283-8777.Contact Information
Primary practice address
2727 Bolton Boone Dr #102
Desoto TX 75115-2019
Phone: (972) 283-8777
Fax: (972) 283-9333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K06009 | Texas |
Profile Details
| NPI number | 1891818399 |
|---|---|
| LBN Legal business name | Idowu, Olubayo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jul 19th, 2011 - about 13 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 | 1891818399 | NPPES |
| Texas | MEDICAID | 111880404 | |
| Texas | Other | K06009 |
Popular Providers
-
Green, Shari B
1010 Northern Blvd Ste 110, Great Neck NY 11021-5306 -
Morrison, Bennett T
2901 Olney Sandy Spring Rd , Olney MD 20832-1521 -
Zulueta, Diana A
1801 North Hampton Rd # 205, Desoto TX 75115 -
Nelson, Leslie
2505 Bolton Boone Dr Suite 107, Desoto TX 75115 -
Reddy, Nallu R
2727 Bolton Boone Dr Ste 111, Desoto TX 75115 -
Abdurrahim, Shehetaj G
2701 Prince George Ave Ste 100 , Desoto TX 75115-2087 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325 -
Nicholas, Donald Gene
1013 Hickory Bend Dr , Desoto TX 75115-3846