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NPI Verification

National Provider Identifier: 1679007736

Oladunni Modupeola Adetoba, M.d

Individual Provider

Credentials

M.D

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

1001 GAUSE BLVD # 4

SLIDELL, LA 704582939

Phone: 985-280-8743

NPI Enumeration Date

April 16, 2017

NPI Number

1679007736

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry