Dr Akinniyi Babasola Odutola, MD | |
475 Sumner Ave, Springfield, MA 01108-2321 | |
(413) 241-6152 | |
(413) 241-6153 |
Full Name | Dr Akinniyi Babasola Odutola |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 475 Sumner Ave, Springfield, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588629240 | NPI | - | NPPES |
32424 | Other | MA | PROVIDER HNE # |
97431403 | Other | MA | NETWORK HEALTH |
2450995 | Other | UNITED HEALTHCARE # | |
8207136 | Other | MA | CIGNA |
MO0497950A | Other | MA | CSR NUMBER |
210668 | Other | PROVIDER CONNECTICARE # | |
3842111 | Other | AETNA # | |
2159821 / 110080500A | Medicaid | MA | |
692538 | Other | TUFTS # | |
000000049829 | Other | MA | BMC HEALTHNET # |
0030525 | Other | MA | NEIGHBORHOOD HEALTH PLAN # |
49849 | Other | MA | PROVIDER CHILDRENS MEDICAL SECURITY PLAN # |
J25872 | Other | MA | BC/BS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 210668 (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Akinniyi Babasola Odutola, MD 84 Lawrence Dr, Longmeadow, MA 01106-1618 Ph: (413) 241-6152 | Dr Akinniyi Babasola Odutola, MD 475 Sumner Ave, Springfield, MA 01108-2321 Ph: (413) 241-6152 |
Adam Gregory Wychowski, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St Ste 207, Springfield, MA 01107 Phone: 413-739-0669 Fax: 413-739-0621 | |
Regina Kruczynska, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 299 Carew St, Springfield, MA 01104 Phone: 413-734-6461 | |
Stephen A Lieberman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-5370 Fax: 413-794-9748 | |
Jeffrey Walbridge, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-0000 | |
Judith E Blumhofer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 High Street, Springfield, MA 01199 Phone: 413-794-2515 Fax: 413-794-5673 | |
Danielle B. Gibbs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 High St, Springfield, MA 01105 Phone: 413-794-2515 Fax: 413-794-5673 | |
Krista Turner Kitchen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-3233 |