DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1619268455

NPI Code Detail

MEDICARE: BUKOLA OYINDAMOLA AFILAKA MD

MEDICARE: BUKOLA OYINDAMOLA AFILAKA 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	207169	LA
2	207R00000X	Internal Medicine Physician	58613	TN
3	208M00000X	Hospitalist Physician	58613	TN

General Provider Information

NPI Number	:	1619268455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUKOLA OYINDAMOLA AFILAKA MD

Provider Business Mailing Address
First Line	:	1021 W OAKLAND AVE STE 310
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2192
Country	:	US
Telephone Number	:	423-302-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 TUSCULUM BLVD
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-4279
Country	:	US
Telephone Number	:	423-787-5000
Fax Number	:

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

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	12/11/2025

Similar Medicare Providers

1134173768 — LEWIS HENRY HOLMES III MD
Practice Location Address:

1420 TUSCULUM BLVD
GREENEVILLE, TN
37745-4279

Practice Phone: 423-787-5000
Practice Fax:

1386645240 — DR. JOHN CARLTON BOYS M.D.
Practice Location Address:

1420 TUSCULUM BLVD
GREENEVILLE, TN
37745-4279

Practice Phone: 423-787-5041
Practice Fax: 423-787-5046

1699760017 — DR. LAWRENCE H REID MD
Practice Location Address:

1404 TUSCULUM BLVD , STE 1100
GREENEVILLE, TN
37745-4279

Practice Phone: 423-787-7020
Practice Fax: 423-787-7025

1336111699 — LAUGHLIN MEMORIAL HOSPITAL
Practice Location Address:

1420 TUSCULUM BLVD
GREENEVILLE, TN
37745-4279

Practice Phone: 423-787-5000
Practice Fax: 423-787-5146

1881669778 — LAUGHLIN MEMORIAL HOSPITAL, INC.
Practice Location Address:

1420 TUSCULUM BLVD
GREENEVILLE, TN
37745-4279

Practice Phone: 423-787-5000
Practice Fax: 423-787-5009

1598724791 — DR. STEVEN R PRINCE MD
Practice Location Address:

1420 TUSCULUM BLVD
GREENEVILLE, TN
37745-4279

Practice Phone: 423-787-5000
Practice Fax:

Directions to “ BUKOLA OYINDAMOLA AFILAKA 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.