| Omo Ijesa Pllc | |
|
7309 E 28th St Tucson AZ 85710-5505 | |
| (510) 345-8981 | |
| (520) 253-7229 |
| Full Name | Omo Ijesa Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7309 E 28th St, Tucson, Arizona |
| Authorized Official Name and Position | Akinbola Adewole Ajayi-obe (OWNER) |
| Authorized Official Contact | 5103458981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omo Ijesa Pllc Po Box 7362 Mcminnville TN 37111-7362 Ph: (510) 345-8981 | Omo Ijesa Pllc 7309 E 28th St Tucson AZ 85710-5505 Ph: (510) 345-8981 |
| NPI Number | 1003436197 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 12/17/2024 |
| Medicare PECOS PAC ID | 4183156847 |
|---|---|
| Medicare Enrollment ID | O20250106002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003436197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Melinda Jorge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568862399 PECOS PAC ID: 3173898772 Enrollment ID: I20210929000223 |
| Provider Name | Akinbola Adewole Ajayi-obe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265850549 PECOS PAC ID: 2466711791 Enrollment ID: I20230728000926 |
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