Olabode Olaosebikan Desalu MD

NPI 1093732950 - Pediatrics - 208000000X

NPI Details
NPI 1093732950
Gender Female
Enumeration Date 07/16/2006
Last Updated 08/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
6930 FERN AVE
SUITE 150
SHREVEPORT LA, 71105-4100, US
Phone (318) 290-3673
Fax (318) 290-3672
Business Location
6930 FERN AVE
SUITE 150
SHREVEPORT LA, 71105-4100, US
Phone (318) 290-3673
Fax (318) 290-3672
Toxanomy
Taxonomy Code 208000000X
License State Louisiana
License Number 15345R
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According to our database, Dr. Olabode Olaosebikan Desalu MD NPI is 1093732950, taxonomy code is 208000000X and license number is 15345R, license state is located at Louisiana. Olabode Olaosebikan Desalu MD physically located at 6930 Fern Ave, Shreveport LA, 71105-4100. NPI Number Olabode Olaosebikan Desalu MD has the Individual type.

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1093732950 NPI number is provided on an as is basis without warranty of any kind. 1093732950 is maintained by the National Plan & Provider Enumeration System. The contents of Olabode Olaosebikan Desalu MD are for informational purposes only.