| Kolawole Ademuyiwa Odulaja, MD | |
|
510 Med Ct, Suite 107, San Antonio, TX 78258-3482 | |
| (210) 455-0074 | |
| (210) 455-0124 |
| Full Name | Kolawole Ademuyiwa Odulaja |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 510 Med Ct, San Antonio, Texas |
| 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 |
|---|---|---|---|
| 1043384654 | NPI | - | NPPES |
| 201404510 | Medicaid | TX | |
| 8CJ963 | Other | BLUE CROSS BLUE SHIELD OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N2694 (Texas) | Primary |
| 207P00000X | Emergency Medicine | N2694 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Girling Health Care Of New York | Brooklyn, NY | Home health agency |
| Visiting Nurse Service Of Ny Hospice Care | New york, NY | Hospice |
| St John's Episcopal Hospital At South Shore | Far rockaway, NY | Hospital |
| Brookhaven Rehab & Health Care Center L L C | Far rockaway, NY | Nursing home |
| Eastchester Rehabilitation And Health Care Center | Bronx, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multiviz Medical Services Pc | 1557274735 | 27 |
| Entity Name | Multiviz Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720373293 PECOS PAC ID: 1557274735 Enrollment ID: O20031112000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Kolawole Ademuyiwa Odulaja, MD 510 Med Ct, Suite 107, San Antonio, TX 78258-3482 Ph: (210) 455-0074 | Kolawole Ademuyiwa Odulaja, MD 510 Med Ct, Suite 107, San Antonio, TX 78258-3482 Ph: (210) 455-0074 |
Dr. Dennis Anthony Ruff, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 | |
Dr. John Gibbons Jordan Jr., M.D., M.P.H. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300 | |
Zarema J Singson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 | |
Sapna Raghunathan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 | |
Dr. Jonathan Edward Slovik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-8002 | |
Mr. Paul Joseph Fanucchi, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005 |