Omoruyi, Adetokunbo Olukorede

Omoruyi, Adetokunbo Olukorede is an individual health care provider with primary practice located at 601 S Floyd St Ste 403, Louisville KY 40202-1837. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Omoruyi, Adetokunbo Olukorede can be contacted via phone (502) 588-3400.

Contact Information

Primary practice address
601 S Floyd St Ste 403 Louisville KY 40202-1837
Phone: (502) 588-3400
Fax: (502) 588-3401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42024 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 35.086930 Ohio
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 42024 Kentucky

Profile Details

NPI number 1427275049
LBN Legal business name Omoruyi, Adetokunbo Olukorede
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Sep 9th, 2014 - about 11 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 1427275049 NPPES
Indiana MEDICAID 200919290
Indiana MEDICAID 7100062650

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