Olajide-Kuku, Anthonia Adetola

Olajide-Kuku, Anthonia Adetola is an individual health care provider with primary practice located at 7840 Vinewood Ln N , Maple Grove MN 55369-7185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Olajide-Kuku, Anthonia Adetola can be contacted via phone (763) 236-0200.

Contact Information

Primary practice address
7840 Vinewood Ln N Maple Grove MN 55369-7185
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42017 Minnesota

Profile Details

NPI number 1780667717
LBN Legal business name Olajide-Kuku, Anthonia Adetola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Dec 28th, 2016 - about 8 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 1780667717 NPPES
Minnesota MEDICAID 416327300

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