Olaseni Ajibade, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Lithonia, GA

NPI

1629327598

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

86155 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2012-09-06

Last updated

2024-01-18