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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1891818399 NPPES
Texas MEDICAID 111880404
Texas Other K06009

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