Provider Demographics
NPI:1932205739
Name:AYODEJI, OLAYIWOLA B (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:OLAYIWOLA
Middle Name:B
Last Name:AYODEJI
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:501 BUTLER FARM RD
Mailing Address - Street 2:STE. I
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1564
Mailing Address - Country:US
Mailing Address - Phone:757-251-7469
Mailing Address - Fax:757-251-7470
Practice Address - Street 1:501 BUTLER FARM RD
Practice Address - Street 2:STE. I
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1564
Practice Address - Country:US
Practice Address - Phone:757-251-7469
Practice Address - Fax:757-251-7470
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101046731207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5877440Medicaid
VA5877440Medicaid
VAF28457Medicare UPIN