Individual provider · NPI-1

Samuel Oyewole Ajayi, MD

Pediatrics, Neonatal-Perinatal Medicine · Fargo, ND

NPI number1346535218

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1346535218
Entity type: Individual (NPI-1)
Name: Samuel Oyewole Ajayi
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 18, 2011
Last updated: Jul 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080N0001X	Pediatrics, Neonatal-Perinatal Medicine	PT14513	ND	Yes
390200000X	Student in an Organized Health Care Education/Training Program	MT198709	PA

Practice location

3000 32nd Ave S
Fargo, ND 58103-6132

Phone 701-364-8000

Mailing address

1702 University Dr S # Ssc
Fargo, ND 58103-4940

Phone 701-364-8000

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