Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.131463 | OH |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35.131463 | OH |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R9260 | TX |
NPI | 1265672406 |
---|---|
Provider Name | Oluseyi Kazeem Ogunleye |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2009 |
Last Update Date | 17/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008878200 | (05) | FL |
0237645 | (05) | OH |
315778 | (05) | SC |
H595932 | CGS-MEDICARE (01) | OH |