| Olakunle D. Ajanaku, Md. Pc. | |
|
1101 S Belmont Ave Suite 104 Okmulgee OK 74447-6315 | |
| (918) 758-3536 | |
| (918) 758-3537 |
| Full Name | Olakunle D. Ajanaku, Md. Pc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1101 S Belmont Ave, Okmulgee, Oklahoma |
| Authorized Official Name and Position | Olakunle D Ajanaku (OWNER) |
| Authorized Official Contact | 9187583536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olakunle D. Ajanaku, Md. Pc. 1101 S Belmont Ave Suite 104 Okmulgee OK 74447-6315 Ph: (918) 758-3536 | Olakunle D. Ajanaku, Md. Pc. 1101 S Belmont Ave Suite 104 Okmulgee OK 74447-6315 Ph: (918) 758-3536 |
| NPI Number | 1891905550 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/28/2008 |
| Medicare PECOS PAC ID | 6507920832 |
|---|---|
| Medicare Enrollment ID | O20090130000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891905550 | NPI | - | NPPES |
| 100002630D | Medicaid | OK | |
| 100002630F | Medicaid | OK | |
| 5030315 | Other | OK | AETNA |
| 030662440003 | Other | OK | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18655 (Oklahoma) | Primary |
| Provider Name | Olakunle D Ajanaku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740270305 PECOS PAC ID: 8224191499 Enrollment ID: I20090114000352 |
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