DR. HEZEKIAH OLUWAROTIMI SOBAMOWO MD NPI 1205141884

NPI Information

NPI: 1205141884
Provider Name: DR. HEZEKIAH OLUWAROTIMI SOBAMOWO, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
10730 POTRANCO RD STE 122-507
SAN ANTONIO, TX
ZIP 78251
Phone: (337) 433-8400
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DR. Hezekiah Oluwarotimi Sobamowo, MD is a nephrology internal medicine in San Antonio, TX with 22 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Hezekiah Oluwarotimi Sobamowo, MD NPI is 1205141884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10730 POTRANCO RD STE 122-507
SAN ANTONIO, TX
ZIP 78251-327
Phone: (337) 433-8400

The NPI 1205141884 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 8/8/2010 and was last updated on 12/19/2023.

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
1	207R00000X	Internal Medicine		204750	LOUISIANA	No
2	207R00000X	Internal Medicine		FR0435669053	NEW YORK	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	MD.204750	LOUISIANA	No
4	208M00000X	Hospitalist		P1595	TEXAS	No
5	207RN0300X	Internal Medicine	Nephrology	P1595	TEXAS	Yes

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
1	2159658	MEDICAID	LOUISIANA
2	08770558	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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