Isiaka Olawale Sholabi, MD | |
3050 Commerce Dr, Suite C Credentials, Fort Gratiot, MI 48059-3819 | |
(810) 385-8086 | |
(810) 385-4933 |
Full Name | Isiaka Olawale Sholabi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 3050 Commerce Dr, Fort Gratiot, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003854449 | NPI | - | NPPES |
4301087339 | Other | MI | PHYSICIAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 4301087339 (Michigan) | Secondary |
208M00000X | Hospitalist | 061654 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Entity Name | Mayo Clinic Health System In Waycross, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Anemonefish Inpatient Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033514716 PECOS PAC ID: 7012236664 Enrollment ID: O20150501001344 |
Entity Name | Allatoona Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203 |
Mailing Address | Practice Location Address |
---|---|
Isiaka Olawale Sholabi, MD 381 Broad St Apt 707a, Newark,nj, Newark, NJ 07104-5314 Ph: () - | Isiaka Olawale Sholabi, MD 3050 Commerce Dr, Suite C Credentials, Fort Gratiot, MI 48059-3819 Ph: (810) 385-8086 |
Vil Edward Matro Castillo, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3050 Commerce Dr, Suite C, Fort Gratiot, MI 48059 Phone: 810-385-4441 Fax: 810-385-4933 | |
Rajat Prakash, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3050 Commerce Dr, Suite B, Fort Gratiot, MI 48059 Phone: 810-385-4441 Fax: 810-385-1540 |