| Olajide A Sowemimo, | |
|
Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 | |
| (432) 703-6310 | |
| Not Available |
| Full Name | Olajide A Sowemimo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | Texas Tech University Health Sciences Complex, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043872955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | V3717 (Texas) | Primary |
| Entity Name | Texas Tech University Health Sciences Center Odessa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407845084 PECOS PAC ID: 8426044256 Enrollment ID: O20040607001561 |
| Mailing Address | Practice Location Address |
|---|---|
| Olajide A Sowemimo, 1379 Branchwood Cir Apt 202, Naperville, IL 60563-0492 Ph: (646) 875-1704 | Olajide A Sowemimo, Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 Ph: (432) 703-6310 |
Dr. Fakeha Masood, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 3001 Jbs Pkwy Ste 100, Odessa, TX 79762 Phone: 432-640-6772 Fax: 432-640-4708 |
Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537 |
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 |
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797 |
Randa N. A Othman, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807 |
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354 |
Manuel Castillo, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 East 7th Street, Odessa, TX 79761 Phone: 432-582-2929 Fax: 432-331-9987 |