Individual provider · NPI-1

Dr. Olurotimi Olusegun Adekolu, M.B.Ch.B

Internal Medicine, Pulmonary Disease · New Haven, CT

NPI number1073871372
StatusActive
Last updated in NPPESSep 28, 2021

Details

NPI
1073871372
Entity type
Individual (NPI-1)
Name
Dr. Olurotimi Olusegun Adekolu
Credential
M.B.Ch.B
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2012
Certification date
Sep 28, 2021
Last updated
Sep 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease054400CTYes
207R00000X Internal Medicine54400CT
208M00000X Hospitalist54400CT
390200000X Student in an Organized Health Care Education/Training Program65537CT

Practice location

20 York St, Cb-2041
New Haven, CT 06510-3220

Phone 203-688-4748 · Fax 203-688-4740

Mailing address

20 York St, Cb-2041
New Haven, CT 06510-3220

Phone 203-688-4748 · Fax 203-688-4740

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