| Michael O. Olatunji, M.d., P.a. | |
|
12031 Ashaway Ln Frisco TX 75035-6996 | |
| (214) 995-6244 | |
| (972) 216-9580 |
| Full Name | Michael O. Olatunji, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12031 Ashaway Ln, Frisco, Texas |
| Authorized Official Name and Position | Michael O Olantunji (OWNER) |
| Authorized Official Contact | 2149956244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael O. Olatunji, M.d., P.a. 12031 Ashaway Ln Frisco TX 75035-6996 Ph: (214) 995-6244 | Michael O. Olatunji, M.d., P.a. 12031 Ashaway Ln Frisco TX 75035-6996 Ph: (214) 995-6244 |
| NPI Number | 1699929307 |
|---|---|
| Provider Enumeration Date | 11/07/2008 |
| Last Update Date | 11/07/2008 |
| Medicare PECOS PAC ID | 9335202894 |
|---|---|
| Medicare Enrollment ID | O20090108000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699929307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M1276 (Texas) | Primary |
| Provider Name | Michael Olaleye Olatunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750303863 PECOS PAC ID: 3476585233 Enrollment ID: I20050901000456 |
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