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1336670330 NPI number — OLOLADE OLUWAKEMI OGUNDELE MD

NPI Number: 1336670330
Health Care Provider/Practitioner: OLOLADE OLUWAKEMI OGUNDELE MD

Information about “1336670330” NPI (OLOLADE OLUWAKEMI OGUNDELE MD) exists in 1336670330 in HTML format HTML  |  1336670330 in plain Text format TXT  |  1336670330 in PDF (Portable Document Format) PDF  |  1336670330 in an XML format XML  formats.

NPI Number : 1336670330 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336670330",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OGUNDELE",
    "FirstName": "OLOLADE",
    "MiddleName": "OLUWAKEMI",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OGUNDIMU",
    "OtherFirstName": "OLOLADE",
    "OtherMiddleName": "OLUWAKEMI",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 845347",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75284-5347",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-291-3369",
    "MailingAddressFaxNumber": "469-645-0078",
    "FirstLinePracticeLocationAddress": "1935 MEDICAL DISTRICT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75235-7701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-456-7000",
    "PracticeLocationAddressFaxNumber": "832-524-5242",
    "EnumerationDate": "03/22/2017",
    "LastUpdateDate": "03/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "U0411",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207LP3000X",
          "TaxonomyName": "Pediatric Anesthesiology Physician",
          "LicenseNumber": "U0411",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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