Oderinde, Julius B

Oderinde, Julius B is an individual health care provider with primary practice located at 5403 Sandy Lk E , Lithonia GA 30038-3944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Oderinde, Julius B can be contacted via phone (478) 714-6901.

Contact Information

Primary practice address
5403 Sandy Lk E Lithonia GA 30038-3944
Phone: (478) 714-6901
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036658 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36658 Georgia

Profile Details

NPI number 1356437040
LBN Legal business name Oderinde, Julius B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 10th, 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 1356437040 NPPES
Georgia MEDICAID F69487

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