NPI 1679007736 · live from the CMS NPI Registry
Oladunni Modupeola Adetoba, M.D
Internal Medicine in Slidell, LA. National Provider Identifier 1679007736, active.
NPI record
| NPI | 1679007736 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1001 Gause Blvd # 4, Slidell, LA 70458 |
| Practice phone | 985-280-8743 |
| Enumerated | April 16, 2017 |
| Last updated | February 11, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine primary | 207R00000X | 323946 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.