Adedapo M Oduwole in Myrtle Beach - Psychiatry
Adedapo M Oduwole - NPI 1720139645
Adedapo M Oduwole is a Psychiatry in Myrtle Beach, South Carolina. Adedapo M Oduwole practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Adedapo M Oduwole is 1720139645. The last update date is 2014-03-21.
Adedapo M Oduwole's current location address is 1203 48th Ave N, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434492576 and fax number 8434496851. The mailing address for Adedapo M Oduwole is 1203 48th Ave N, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adedapo M Oduwole |
|---|---|
| Address | 1203 48th Ave N, Myrtle Beach, South Carolina |
| Phone Number | 8434492576 |
| Fax Number | 8434496851 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720139645 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2014-03-21 |
Provider Mailing Address Detail
| Address | 1203 48th Ave N |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295775425 |
| Phone Number | 8434492576 |
| Fax Number | 8434496851 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 43425 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31507 | SC | -- | |
| 34116200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Adedapo M Oduwole by the Centers for Medicare & Medicaid Services?
The Adedapo M Oduwole has been issued the NPI (National Provider Identifier) 1720139645, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Adedapo M Oduwole's physical address?
The Adedapo M Oduwole is physically located at 1203 48Th Ave N, in the city of Myrtle Beach, SC, with the postal code 295775425.
What is the Adedapo M Oduwole's specialty and taxonomy code?
The Adedapo M Oduwole's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720139645 to Adedapo M Oduwole?
The Centers for Medicare & Medicaid Services originally issued the 1720139645 to Adedapo M Oduwole on 2007-01-16.
When was the information pertaining to Adedapo M Oduwole most recently updated or revised?
The details related to Adedapo M Oduwole, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-21.