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NPI Code Detail

MEDICARE: OLALEKAM ADIGUM M SORUMKE

MEDICARE: OLALEKAM ADIGUM M SORUMKE
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
1332B00000XDurable Medical Equipment & Medical Supplies0089529TX

General Provider Information

NPI Number : 1467634782
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLALEKAM ADIGUM M SORUMKE
Provider Business Mailing Address
First Line : 10935 ESTATE LN
Second Line : SUITE 274
City : DALLAS
State : TX
Zip : 75238-2316
Country : US
Telephone Number : 214-553-2544
Fax Number : 214-503-0315
Provider Business Practice Location Address
First Line : 10935 ESTATE LN
Second Line : SUITE 274
City : DALLAS
State : TX
Zip : 75238-2316
Country : US
Telephone Number : 214-553-2544
Fax Number : 214-503-0315
Authorized Official
Title or Position : OWNER
Name : OLALEKAM ADIGUM SORUMKE
Credential :
Telephone Number : 214-553-2544
Provider Enumeration Date : 11/28/2007
Last Update Date : 12/04/2007

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Directions to “OLALEKAM ADIGUM M SORUMKE ” Practice Location

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