Celyn Oluwadamilola Idami, MD is a
Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. Celyn Oluwadamilola Idami is licensed to practice in Pennsylvania (license number MT224397) and her current practice location is 800 Spruce St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 327-4190.
NPI number for Celyn Oluwadamilola Idami is 1255903035 and her current mailing address is 1001 Vine St Apt 1809, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255903035.
Physician's Profile
| Full Name | Celyn Oluwadamilola Idami |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 800 Spruce St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255903035
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 07/12/2021
Medical Identifiers
Medical identifiers for Celyn Oluwadamilola Idami such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255903035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MT224397 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | MT224397 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Celyn Oluwadamilola Idami is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Celyn Oluwadamilola Idami, MD
1001 Vine St Apt 1809,
Philadelphia, PA 19107-1325
Ph: (215) 327-4190 | Celyn Oluwadamilola Idami, MD
800 Spruce St,
Philadelphia, PA 19107-6130
Ph: (215) 327-4190 |
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