MEDICARE: MR. AKINOLA O OGUNDIPE M.D.

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	174400000X	Specialist	04-24516	KS
2	207RH0003X	Hematology & Oncology Physician	18134	OK
3	207RH0000X	Hematology (Internal Medicine) Physician	18134	OK
4	207RH0003X	Hematology & Oncology Physician	04-24516	KS
5	207RH0000X	Hematology (Internal Medicine) Physician	04-24516	KS
6	207RX0202X	Medical Oncology Physician	18134	OK

General Provider Information

NPI Number	:	1760433908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AKINOLA O OGUNDIPE M.D.

Provider Business Mailing Address
First Line	:	609 VIRGINIA AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2911
Country	:	US
Telephone Number	:	580-767-1300
Fax Number	:	580-765-4529

Provider Business Practice Location Address
First Line	:	609 VIRGINIA AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2911
Country	:	US
Telephone Number	:	580-767-1300
Fax Number	:	580-765-4529

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	05/15/2015

Similar Medicare Providers

1386722916 — CANCER & BLOOD CARE, P.C.
Practice Location Address:

609 VIRGINIA AVE
PONCA CITY, OK
74601-2911

Practice Phone: 580-767-1300
Practice Fax: 580-765-4529

1033369988 — DR. SUSANNA V. ULAHANNAN M.D.
Practice Location Address:

609 VIRGINIA AVE
PONCA CITY, OK
74601-2911

Practice Phone: 580-767-1300
Practice Fax: 580-765-4529

1942598628 — ENID UROLOGY ASSOCIATES, INC
Practice Location Address:

609 VIRGINIA AVE
PONCA CITY, OK
74601-2911

Practice Phone: 580-233-3230
Practice Fax: 580-233-0698

1063069227 — COURTNEY DAWN BECK
Practice Location Address:

609 VIRGINIA AVE
PONCA CITY, OK
74601-2911

Practice Phone: 580-767-1300
Practice Fax:

1689641052 — MRS. LAURA WETHERELT APRN
Practice Location Address:

2911 WILSON ST
MILES CITY, MT
59301-5722

Practice Phone: 406-234-2929
Practice Fax: 406-234-2928

1316992886 — LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS
Practice Location Address:

975 FRANKLIN AVE , SUITE 101
GARDEN CITY, NY
11530-2911

Practice Phone: 516-248-8334
Practice Fax:

Directions to “ MR. AKINOLA O OGUNDIPE M.D.” 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 © 2007-2026 (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.