Okundaye, Ivie O

Okundaye, Ivie O is an individual health care provider with primary practice located at 795 El Camino Real , Palo Alto CA 94301-2302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Okundaye, Ivie O can be contacted via phone (650) 321-4121.

Contact Information

Primary practice address
795 El Camino Real Palo Alto CA 94301-2302
Phone: (650) 321-4121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036168318 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23179 Nevada
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A156582 California

Profile Details

NPI number 1679968077
LBN Legal business name Okundaye, Ivie O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2015
Last updated May 9th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679968077 NPPES
Nevada Other 15696403 CAQH NUMBER
Nevada Other 23179 CAQH NUMBER

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