Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OLUSEYI FADEGBOLA OGUNDIMU, M.D.
ActiveDR. OLUSEYI FADEGBOLA OGUNDIMU, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in SULLIVAN, Missouri. NPI 1700016250 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · SULLIVAN, MO
Registration Details
- NPI Number
- 1700016250
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2009 (17.121984491456 yrs)
- Last Updated
- Jul 7, 2014
- Licenses
-
2014010100 (MO)4301103019 (MI)
Practice Information
- Address
-
661 FISHER DRSULLIVAN, MO, 630801533Browse MO providers · Browse ZIP 63080
- Phone
- 5738603000
- Fax
- 5738603004
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pain Medicine (Anesthesiology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.