Osobamiro, Omokayode A.
Osobamiro, Omokayode A. is an sole proprietor health care provider with primary practice located at 16151 19 Mile Rd Ste 302 , Clinton Twp MI 48038-1159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Osobamiro, Omokayode A. can be contacted via phone (586) 228-7433.Contact Information
Primary practice address
16151 19 Mile Rd Ste 302
Clinton Twp MI 48038-1159
Phone: (586) 228-7433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301059326 | Michigan |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4301059326 | Michigan |
Profile Details
| NPI number | 1518951672 |
|---|---|
| LBN Legal business name | Osobamiro, Omokayode A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Apr 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518951672 | NPPES |
| Michigan | MEDICAID | 10 4841551 | |
| Michigan | Other | 1105018352 |
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