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IYABODE OGUNLADE MD PA NPI 1598090599


NPI Information

NPI: 1598090599
Provider Name: IYABODE OGUNLADE, MD PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1602 ROCK PRAIRIE RD
STE 3000
COLLEGE STATION, TX
ZIP 77845
Phone: (979) 764-4043
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IYABODE OGUNLADE, MD PA is a specialist in College Station, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IYABODE OGUNLADE, MD PA NPI is 1598090599. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1602 ROCK PRAIRIE RD
STE 3000
COLLEGE STATION, TX
ZIP 77845-306
Phone: (979) 764-4043
Fax: (979) 694-2175

The provider's authorized official is Iyabode A Ogunlade .
The authorized official title is Md/owner and has the following contact phone number (979) 764-4043.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistM8471TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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