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NPI Code Detail

MEDICARE: DR. TIOLUWANI KOLADE OJO MD

MEDICARE: DR. TIOLUWANI KOLADE OJO 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
1208M00000XHospitalist Physician97279SC

General Provider Information

NPI Number : 1790469245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIOLUWANI KOLADE OJO MD
Provider Business Mailing Address
First Line : PO BOX 23321
Second Line :
City : NEW YORK
State : NY
Zip : 10087-3321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 SAINT MATTHEWS RD
Second Line :
City : ORANGEBURG
State : SC
Zip : 29118-1442
Country : US
Telephone Number : 803-533-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 06/23/2026

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