Ogundipe, Olushesan Martins

Ogundipe, Olushesan Martins is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ogundipe, Olushesan Martins can be contacted via phone (706) 475-5076.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606
Phone: (706) 475-5076
Fax: (260) 373-6348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 059840 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01069915A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 059840 Georgia

Profile Details

NPI number 1194915470
LBN Legal business name Ogundipe, Olushesan Martins
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Mar 8th, 2021 - about 3 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 1194915470 NPPES
Indiana MEDICAID 200922610
Indiana Other 000000724341

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