Odumosu, Oladapo O

Odumosu, Oladapo O is an sole proprietor health care provider with primary practice located at 28248 N Tatum Blvd Bldg B-1 #605, Cave Creek AZ 85331-6343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Odumosu, Oladapo O can be contacted via phone (602) 996-5595.

Contact Information

Primary practice address
28248 N Tatum Blvd Bldg B-1 #605 Cave Creek AZ 85331-6343
Phone: (602) 996-5595
Fax: (602) 996-5610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30700 Arizona

Profile Details

NPI number 1104890854
LBN Legal business name Odumosu, Oladapo O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Jun 28th, 2013 - about 11 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 1104890854 NPPES
Arizona Other 30700 MEDICAL LICENSE
Arizona MEDICAID 724543 MEDICAL LICENSE

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