Omotola Olufunmilayo Majiyagbe, M.D
Student in an Organized Health Care Education/Training Program in Minneapolis, MN. Individual provider (NPI-1).
Details
- NPI
- 1235925199
- Entity type
- Individual (NPI-1)
- Name
- Omotola Olufunmilayo Majiyagbe
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2025
- Certification date
- Dec 17, 2025
- Last updated
- Dec 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2450 Riverside Ave Pediatrics Education Office M136, 1sMinneapolis, MN 55454
Phone 612-624-4477 · Fax 612-626-7042
Mailing address
2450 Riverside Ave Pediatrics Education Office M136, 1sMinneapolis, MN 55454
Phone 612-624-4477 · Fax 612-626-7042
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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