1457147266 NPI number — MISS DAMILOLA MAUREEN OLOGBE M.D

Table of content: MISS DAMILOLA MAUREEN OLOGBE M.D (NPI 1457147266)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457147266 NPI number — MISS DAMILOLA MAUREEN OLOGBE M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLOGBE
Provider First Name:
DAMILOLA
Provider Middle Name:
MAUREEN
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457147266
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13 GRAFTON AVENUE
Provider Second Line Business Mailing Address:
WOODTHROPE
Provider Business Mailing Address City Name:
NOTTINGHAM
Provider Business Mailing Address State Name:
NOTTINGHAMSHIRE
Provider Business Mailing Address Postal Code:
NG5 4GD
Provider Business Mailing Address Country Code:
GB
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5333 MCAULEY DRIVE, SUITE 4001
Provider Second Line Business Practice Location Address:
ACADEMIC INTERNAL MEDICINE CLINIC
Provider Business Practice Location Address City Name:
YPSILANTI
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48197
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-712-3980
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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