| Dr Abdulfatai Olaolu Odemuyiwa, MD | |
|
235 Medical Blvd, Suite B, Stockbridge, GA 30281-7218 | |
| (770) 960-8855 | |
| (678) 565-1140 |
| Full Name | Dr Abdulfatai Olaolu Odemuyiwa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 235 Medical Blvd, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528161437 | NPI | - | NPPES |
| 00896684B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 048451 (Georgia) | Primary |
| Entity Name | Advanced Internal Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669658829 PECOS PAC ID: 6204863764 Enrollment ID: O20050726000984 |
| Entity Name | Qcpi-villagemd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558872432 PECOS PAC ID: 8123389277 Enrollment ID: O20180306001224 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abdulfatai Olaolu Odemuyiwa, MD Po Box 870116, Morrow, GA 30287-0116 Ph: (770) 960-8855 | Dr Abdulfatai Olaolu Odemuyiwa, MD 235 Medical Blvd, Suite B, Stockbridge, GA 30281-7218 Ph: (770) 960-8855 |
Joshua A King, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-5901 | |
Dr. Ashar Ul Islam Usmani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 N Park Pl, Stockbridge, GA 30281 Phone: 770-505-1500 | |
Dr. Cosmo Fowler, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 135 N Park Pl Ste 200, Stockbridge, GA 30281 Phone: 678-289-7960 Fax: 678-289-7962 | |
Deepa Nankani, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-367-3014 | |
Gurinderjit Kaur Sidhu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Eagles Landing Pkwy Ste 302, Stockbridge, GA 30281 Phone: 770-507-0070 Fax: 770-507-7463 | |
Nizar Ali Tejani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1004 Hospital Drive, Stockbridge, GA 30281 Phone: 770-507-9929 Fax: 770-507-9930 | |
Dr. Saurabh Singh, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-367-3014 |