Provider Demographics
NPI:1891433348
Name:MULERO, OLUWASEYI AKANDE
Entity Type:Individual
Prefix:MR
First Name:OLUWASEYI
Middle Name:AKANDE
Last Name:MULERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14544 N PENNSYLVANIA AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6137
Mailing Address - Country:US
Mailing Address - Phone:405-835-0803
Mailing Address - Fax:
Practice Address - Street 1:14544 N PENNSYLVANIA AVE APT 204
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-6137
Practice Address - Country:US
Practice Address - Phone:405-835-0803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator