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1750341293

NPI Code Detail

MEDICARE: OLUJIDE A BAMIRO MD

MEDICARE: OLUJIDE A BAMIRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	059369	GA
2	207R00000X	Internal Medicine Physician	059369	GA
3	207R00000X	Internal Medicine Physician	35087398	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00382832	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000495991	OTHER	OH	BC/BS OF OHIO

General Provider Information

NPI Number	:	1750341293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUJIDE A BAMIRO MD

Provider Business Mailing Address
First Line	:	PO BOX 708790
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-8717
Country	:	US
Telephone Number	:	800-846-5313
Fax Number	:	801-352-9502

Provider Business Practice Location Address
First Line	:	1761 BEALL AVE
Second Line	:
City	:	WOOSTER
State	:	OH
Zip	:	44691-2342
Country	:	US
Telephone Number	:	330-263-8326
Fax Number	:	330-263-8243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	02/19/2026

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Directions to “ OLUJIDE A BAMIRO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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