Provider Demographics
NPI:1417538224
Name:OLUYEDE, ANJOLAOLUWA A (MD)
Entity Type:Individual
Prefix:DR
First Name:ANJOLAOLUWA
Middle Name:A
Last Name:OLUYEDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADEYEMI
Other - Middle Name:A
Other - Last Name:OLUYEDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:17 POND CRST
Mailing Address - Street 2:
Mailing Address - City:PAINTED POST
Mailing Address - State:NY
Mailing Address - Zip Code:14870-9119
Mailing Address - Country:US
Mailing Address - Phone:315-380-6822
Mailing Address - Fax:
Practice Address - Street 1:600 ROE AVE
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14905-1676
Practice Address - Country:US
Practice Address - Phone:607-442-1713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program