Provider Demographics
NPI:1912226697
Name:OGUNDEJI, OLUFEMI ADEMOLA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:OLUFEMI
Middle Name:ADEMOLA
Last Name:OGUNDEJI
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1006 HIGHLAND AVE
Mailing Address - Street 2:BRENTWOOD HOSPITAL
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4103
Mailing Address - Country:US
Mailing Address - Phone:318-222-6226
Mailing Address - Fax:318-222-6227
Practice Address - Street 1:1006 HIGHLAND AVE
Practice Address - Street 2:BRENTWOOD HOSPITAL
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4103
Practice Address - Country:US
Practice Address - Phone:318-222-6226
Practice Address - Fax:318-222-6227
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2016-02-01
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Provider Licenses
StateLicense IDTaxonomies
LAMD2073542084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry