| Isiaka Olawale Sholabi, MD | |
|
3050 Commerce Dr, Suite C Credentials, Fort Gratiot, MI 48059-3819 | |
| (810) 385-8086 | |
| (810) 385-4933 |
| Full Name | Isiaka Olawale Sholabi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 3050 Commerce Dr, Fort Gratiot, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003854449 | NPI | - | NPPES |
| 4301087339 | Other | MI | PHYSICIAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 4301087339 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 061654 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | Anemonefish Inpatient Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033514716 PECOS PAC ID: 7012236664 Enrollment ID: O20150501001344 |
| Entity Name | Allatoona Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Isiaka Olawale Sholabi, MD 381 Broad St Apt 707a, Newark,nj, Newark, NJ 07104-5314 Ph: () - | Isiaka Olawale Sholabi, MD 3050 Commerce Dr, Suite C Credentials, Fort Gratiot, MI 48059-3819 Ph: (810) 385-8086 |
Vil Edward Matro Castillo, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3050 Commerce Dr, Suite C, Fort Gratiot, MI 48059 Phone: 810-385-4441 Fax: 810-385-4933 | |
Rajat Prakash, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3050 Commerce Dr, Suite B, Fort Gratiot, MI 48059 Phone: 810-385-4441 Fax: 810-385-1540 |