Ojo, Olufunso A

Ojo, Olufunso A is an sole proprietor health care provider with primary practice located at 8225 Mall Pkwy Suite 240, Lithonia GA 30038-6946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ojo, Olufunso A can be contacted via phone (770) 484-3092.

Contact Information

Primary practice address
8225 Mall Pkwy Suite 240 Lithonia GA 30038-6946
Phone: (770) 484-3092
Fax: (770) 484-3096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 054004 Georgia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 054004 Georgia

Profile Details

NPI number 1316991748
LBN Legal business name Ojo, Olufunso A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Nov 26th, 2012 - about 12 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 1316991748 NPPES
Georgia MEDICAID 619739917B

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