1720662869 NPI number — OSAMUYI OSARENEVBAGHARU ASEMOTA M.D

Table of content: OSAMUYI OSARENEVBAGHARU ASEMOTA M.D (NPI 1720662869)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720662869 NPI number — OSAMUYI OSARENEVBAGHARU ASEMOTA M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASEMOTA
Provider First Name:
OSAMUYI
Provider Middle Name:
OSARENEVBAGHARU
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

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:
1720662869
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
59 HART AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINNIPEG
Provider Business Mailing Address State Name:
MANITOBA
Provider Business Mailing Address Postal Code:
R2L 0K3
Provider Business Mailing Address Country Code:
CA
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:
ST DAVID'S HEATHCARE GENERAL SURGERY RESIDENCY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-377-3631
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2021

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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