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1316243868

NPI Code Detail

MEDICARE: OLUWASEUN A AJIBADE MD

MEDICARE: OLUWASEUN A AJIBADE 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	35.098914	OH
2	208M00000X	Hospitalist Physician	P6942	TX
3	207R00000X	Internal Medicine Physician	35.098914	OH
4	208M00000X	Hospitalist Physician	262381	NY
5	207R00000X	Internal Medicine Physician	P6942	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316243868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUWASEUN A AJIBADE MD

Provider Business Mailing Address
First Line	:	920 FROSTWOOD DR STE 2.300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2314
Country	:	US
Telephone Number	:	281-929-6184
Fax Number	:	713-704-3086

Provider Business Practice Location Address
First Line	:	11800 ASTORIA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6041
Country	:	US
Telephone Number	:	281-929-6184
Fax Number	:	937-208-8388

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

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	03/06/2026

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Directions to “ OLUWASEUN A AJIBADE MD” Practice Location

Language	Start Address	Practice Location

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