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MRS. TINUOLA OLUWASOLA ADEMOLA MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1437472974
Individual Registrant:MRS. TINUOLA OLUWASOLA ADEMOLA MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
370 DISTEL CIR LOS ALTOS, CA 94022-1404 US
Tel: 650-254-5200 Fax: --
Tel: 650-254-5200 Fax: --
Contact information for business:
325 DISTEL CIR LOS ALTOS, CA 94022-1408 US
Tel: 650-254-5200 Fax: --
Tel: 650-254-5200 Fax: --
Registration Information:
NPI: 1437472974
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A118388 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
