Olutoyosi Ogunkua, | |
3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 | |
(704) 749-5800 | |
(704) 626-3237 |
Full Name | Olutoyosi Ogunkua |
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Gender | Male |
Speciality | Anesthesiology |
Location | 3735 Glenlake Dr Ste 250, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922366350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R1429 (Texas) | Secondary |
207L00000X | Anesthesiology | 2023-01259 (North Carolina) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
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Olutoyosi Ogunkua, Po Box 845347, Dallas, TX 75284-5347 Ph: (469) 291-3369 | Olutoyosi Ogunkua, 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 Ph: (704) 749-5800 |
Michael J Mcnelis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. James Peter Deering Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277 Phone: 704-544-6920 Fax: 704-316-3061 | |
Dr. Kim Rita Blumberg, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. Adewunmi Abiodun Akande, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10035 Park Cedar Dr Ste 100, Charlotte, NC 28210 Phone: 704-526-0091 Fax: 980-237-6858 | |
Dr. James Michael Doyle, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2372 Fax: 704-355-6692 | |
Dr. Charles David Hord, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2825 Randolph Rd, Charlotte, NC 28211 Phone: 704-377-1647 Fax: 704-358-8267 |