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NPI Code Detail

MEDICARE: ABEL ABIODUN MAKANJUOLA

MEDICARE: ABEL ABIODUN MAKANJUOLA
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
11041C0700XClinical Social Worker149026907IL

General Provider Information

NPI Number : 1770177214
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABEL ABIODUN MAKANJUOLA
Provider Business Mailing Address
First Line : 1481 W 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2803
Country : US
Telephone Number : 317-389-6600
Fax Number :
Provider Business Practice Location Address
First Line : 1481 W 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2803
Country : US
Telephone Number : 317-389-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2021
Last Update Date : 01/08/2026

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Directions to “ ABEL ABIODUN MAKANJUOLA ” Practice Location

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