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ADETOKUNBO OLUWASANJO MD NPI 1184937518


NPI Information

NPI: 1184937518
Provider Name: ADETOKUNBO OLUWASANJO, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
795 STATE ROAD 47
LAKE CITY, FL
ZIP 32025
Phone: (386) 401-7066
Get Directions

Adetokunbo Oluwasanjo, MD is a medical oncology internal medicine in Lake City, FL. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Adetokunbo Oluwasanjo, MD NPI is 1184937518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

795 STATE ROAD 47
LAKE CITY, FL
ZIP 32025-453
Phone: (386) 401-7066
Fax: (833) 933-0709

The NPI 1184937518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2010 and was last updated on 12/24/2020.


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
1207RX0202XInternal MedicineMedical OncologyME141781FLORIDAYes
2207R00000XInternal MedicineMD449227PENNSYLVANIANo
3207R00000XInternal MedicineMT196670PENNSYLVANIANo
4207RH0000XInternal MedicineHematologyME141781FLORIDANo
5207R00000XInternal MedicineME141781FLORIDANo
6207RH0003XInternal MedicineHematology & OncologyME141781FLORIDANo

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.