Osofisan, Olaniyi Olabode
Osofisan, Olaniyi Olabode is an individual health care provider with primary practice located at 1404 River Pl Ste 501 , Braselton GA 30517-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Osofisan, Olaniyi Olabode can be contacted via phone (770) 848-7160.Contact Information
Primary practice address
1404 River Pl Ste 501
Braselton GA 30517-5600
Phone: (770) 848-7160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 053797 | Georgia |
Profile Details
| NPI number | 1447333554 |
|---|---|
| LBN Legal business name | Osofisan, Olaniyi Olabode |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Feb 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447333554 | NPPES |
| Georgia | MEDICAID | 173191749A |
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