Odunsi-Shiyanbade, Suwebatu T
Odunsi-Shiyanbade, Suwebatu T is an individual health care provider with primary practice located at 647 N Miller Rd Ste B , Mansfield TX 76063-6180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Odunsi-Shiyanbade, Suwebatu T can be contacted via phone (817) 760-7969.Contact Information
Primary practice address
647 N Miller Rd Ste B
Mansfield TX 76063-6180
Phone: (817) 760-7969
Fax: (817) 760-7976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M4404 | Texas |
Profile Details
| NPI number | 1427141746 |
|---|---|
| LBN Legal business name | Odunsi-Shiyanbade, Suwebatu T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1427141746 | NPPES |
| Texas | Other | P0147446 | DPS |
| Texas | Other | M4404 | DPS |
| Texas | MEDICAID | 638925000 | DPS |
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