Oduola, Ayodeji

Oduola, Ayodeji is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Oduola, Ayodeji can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 838-4698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101252866 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD188608 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01071055A Indiana

Profile Details

NPI number 1942530266
LBN Legal business name Oduola, Ayodeji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2010
Last updated Mar 22nd, 2021 - about 4 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 1942530266 NPPES
Indiana Other 000000766029 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201063890 ANTHEM PROVIDER NUMBER

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