Uwaifo, Omotola Olubusola

Uwaifo, Omotola Olubusola is an individual health care provider with primary practice located at 1514 Jefferson Highway , New Orleans LA 70121-2429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Uwaifo, Omotola Olubusola can be contacted via phone (504) 842-3658.

Contact Information

Primary practice address
1514 Jefferson Highway New Orleans LA 70121-2429
Phone: (504) 842-3658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 19935 Mississippi
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD.204118 Louisiana

Profile Details

NPI number 1366572729
LBN Legal business name Uwaifo, Omotola Olubusola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Dec 3rd, 2010 - about 15 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 1366572729 NPPES
Louisiana MEDICAID 1191124
Louisiana MEDICAID 05235009

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