Provider Demographics
NPI:1831719681
Name:ODUJOKO, OLUWOLE OLANIYI (MD)
Entity type:Individual
Prefix:DR
First Name:OLUWOLE
Middle Name:OLANIYI
Last Name:ODUJOKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF MORBID ANATOMY AND FORENJIL MEDICINE, OBA
Mailing Address - Street 2:UNIVERSITY TEACHING HOSPITAL
Mailing Address - City:ILE-IFE
Mailing Address - State:OSUN STATE
Mailing Address - Zip Code:220212
Mailing Address - Country:NG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24, HOSPITAL AVENUE, DANBURY, CT
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6099
Practice Address - Country:US
Practice Address - Phone:203-739-7855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program