Samuel Olasoji Ajagbonna, MD is a student in an organized health care education training program in Jackson, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Samuel Olasoji Ajagbonna, MD NPI is 1942932553. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 205-3998
The NPI 1942932553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/30/2022 and was last updated on 6/30/2022.