Olamide Ayotola Ajagbe, MD | |
750 E Adams St, Syracuse, NY 13210-2342 | |
(315) 464-5450 | |
(315) 464-6322 |
Full Name | Olamide Ayotola Ajagbe |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 750 E Adams St, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245470855 | NPI | - | NPPES |
03357600 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 261255 (New York) | Primary |
208000000X | Pediatrics | 261255 (New York) | Secondary |
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
Mailing Address | Practice Location Address |
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Olamide Ayotola Ajagbe, MD 750 E Adams St, Syracuse, NY 13210-2342 Ph: (315) 464-5450 | Olamide Ayotola Ajagbe, MD 750 E Adams St, Syracuse, NY 13210-2342 Ph: (315) 464-5450 |
Xianjin Yi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Hospital Internists, Syracuse, NY 13203 Phone: 315-448-5704 Fax: 315-423-6853 | |
Aisha Khaliq, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5910 | |
Amit S. Dhamoon, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Suny Upstate Medical University, Syracuse, NY 13210 Phone: 315-464-5774 Fax: 315-464-1937 | |
Basel Abuzuaiter, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 251 Salina Meadows Parkway, Suite 100, Syracuse, NY 13212 Phone: 315-464-2000 Fax: 315-464-2010 | |
Dinesh Subedi, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5774 Fax: 315-464-1937 | |
Manika Suryadevara, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5450 Fax: 315-464-6322 | |
Radhika Mehra, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Hospitalist Office, Syracuse, NY 13203 Phone: 315-448-5704 Fax: 315-423-6853 |