Olukoga, Christopher Olusegun

Olukoga, Christopher Olusegun is an individual health care provider with primary practice located at 1925 Mizell Ave Ste 201 , Winter Park FL 32792-4155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Olukoga, Christopher Olusegun can be contacted via phone (407) 303-7399.

Contact Information

Primary practice address
1925 Mizell Ave Ste 201 Winter Park FL 32792-4155
Phone: (407) 303-7399
Fax: (407) 303-7305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-084596 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X MD437268 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X ME125287 Florida

Profile Details

NPI number 1467444877
LBN Legal business name Olukoga, Christopher Olusegun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Feb 4th, 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 1467444877 NPPES
Kentucky MEDICAID 64094881
Kentucky MEDICAID 2494206

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