Individual provider · NPI-1
Olaide Omowonuola Abiodun, MD
Phlebology · Mesa, AZ
NPI number1316292121
StatusActive
Last updated in NPPESSep 27, 2026
Details
- NPI
- 1316292121
- Entity type
- Individual (NPI-1)
- Name
- Olaide Omowonuola Abiodun
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2012
- Certification date
- Sep 27, 2026
- Last updated
- Sep 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | 50099 | AZ | Yes |
| 208M00000X | Hospitalist | 50099 | AZ | |
| 207R00000X | Internal Medicine | 50099 | AZ |
Practice location
4111 E Valley Auto Dr Ste 210Mesa, AZ 85206-4609
Phone 480-630-2886 · Fax 480-378-8124
Mailing address
1641 E Osborn Rd Ste 4Phoenix, AZ 85016-7146
Phone 480-630-2886 · Fax 480-378-8124
Other practice locations
5656 S Power Rd Ste 132
Gilbert, AZ 85295-8490
Gilbert, AZ 85295-8490
Phone 480-630-2886 · Fax 480-378-8124
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