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NPI Code Detail

MEDICARE: ANU JOSEPH OLASUNKANMI

MEDICARE:   ANU JOSEPH OLASUNKANMI
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1063121002
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANU JOSEPH OLASUNKANMI
Provider Business Mailing Address
First Line : 6730 LA PUENTE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1127
Country : US
Telephone Number : 917-780-9406
Fax Number :
Provider Business Practice Location Address
First Line : 6730 LA PUENTE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1127
Country : US
Telephone Number : 917-780-9406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2022
Last Update Date : 11/17/2022

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Directions to “ ANU JOSEPH OLASUNKANMI ” Practice Location

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