EMMANUEL O. SOYOOLA MD PC NPI 1104005297

NPI Information

  • NPI: 1104005297
  • Provider Name: EMMANUEL O. SOYOOLA MD PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: OLAN COMPREHENSIVE WOMENS HEALTHCARE CENTER
  • Address: 70 HOSPITAL DR
    KRUGER MEDICAL PLAZA, SUITE 200
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 752-6780

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NPI Details

EMMANUEL O. SOYOOLA MD PC is an obstetrics gynecology in Logan, WV. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. EMMANUEL O. SOYOOLA MD PC NPI is 1104005297. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Olan Comprehensive Womens Healthcare Center.

The provider's business location address is:

70 HOSPITAL DR
KRUGER MEDICAL PLAZA, SUITE 200
LOGAN, WV
ZIP 25601-452
Phone: (304) 752-6780
Fax: (304) 752-6782

The provider's authorized official is Emmanuel Olusola Soyoola .
The authorized official title is Physician/owner and has the following contact phone number (304) 752-6780.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 10/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology21399WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19344341MEDICARE PIN
21811315000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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