Provider Demographics
NPI:1376819169
Name:DAWODU, MADOJUTOLA ZAHYDAT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MADOJUTOLA
Middle Name:ZAHYDAT
Last Name:DAWODU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TOLA
Other - Middle Name:
Other - Last Name:DAWODU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:LOMA LINDA VA HOSPITAL 11201 BENTON STREET
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92357-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE # 604
Practice Address - Street 2:URMC DEPT OF ANESTHESIOLOGY
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-1384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA648016183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist