Dr Olabode Olaosebikan Desalu, MD | |
900 S 52nd St Ste 200, Rogers, AR 72758-8640 | |
(479) 254-1100 | |
Not Available |
Full Name | Dr Olabode Olaosebikan Desalu |
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Gender | Female |
Speciality | Pediatrics |
Location | 900 S 52nd St Ste 200, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093732950 | NPI | - | NPPES |
1470635 | Medicaid | LA | |
176387001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | T2018-031 (Arkansas) | Secondary |
208000000X | Pediatrics | 15345R (Louisiana) | Secondary |
208000000X | Pediatrics | E-11228 (Arkansas) | Primary |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Dr Olabode Olaosebikan Desalu, MD 1 Children's Way, Slot 844, Little Rock, AR 72202-3500 Ph: (501) 364-2090 | Dr Olabode Olaosebikan Desalu, MD 900 S 52nd St Ste 200, Rogers, AR 72758-8640 Ph: (479) 254-1100 |
Bryan M Harvey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 S 52nd St, 200, Rogers, AR 72758 Phone: 479-254-1100 Fax: 479-254-2997 | |
Dr. Martha Ann B Sharkey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5507 Walsh Ln, Suite 101, Rogers, AR 72758 Phone: 479-464-8231 Fax: 479-464-8230 | |
Dr. Virginia Brown Neaville, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2708 Rife Medical Lane, Suite 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Dr. Matthew Cort Bell, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 700 S 52nd St, Rogers, AR 72758 Phone: 479-464-8887 Fax: 479-464-9949 | |
Megan Patterson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 700 S 52nd St, Rogers, AR 72758 Phone: 479-464-8887 | |
Dr. Janet Susan Cantwell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 S 52nd St, Suite 200, Rogers, AR 72758 Phone: 479-254-1100 Fax: 479-254-2997 |