Provider Demographics
NPI:1891365243
Name:STOWE, IFEOLUWA TOYIN (MD)
Entity Type:Individual
Prefix:DR
First Name:IFEOLUWA
Middle Name:TOYIN
Last Name:STOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:IFEOLUWA
Other - Middle Name:TOYIN
Other - Last Name:OLAOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3401 NORTH BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3743
Mailing Address - Country:US
Mailing Address - Phone:225-387-7900
Mailing Address - Fax:
Practice Address - Street 1:3401 NORTH BLVD STE 130
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3743
Practice Address - Country:US
Practice Address - Phone:225-387-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA327657390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program