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OMOLARA KUTEYI MD INC NPI 1235343088


NPI Information

NPI: 1235343088
Provider Name: OMOLARA KUTEYI MD, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3546 COVINGTON HWY
SUITE C
DECATUR, GA
ZIP 30032
Phone: (404) 284-7744
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OMOLARA KUTEYI MD, INC is a family medicine in Decatur, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OMOLARA KUTEYI MD, INC NPI is 1235343088. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3546 COVINGTON HWY
SUITE C
DECATUR, GA
ZIP 30032-823
Phone: (404) 284-7744
Fax: (404) 284-8006

The provider's authorized official is Omolara B Kuteyi .
The authorized official title is Owner and has the following contact phone number (404) 284-7744.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 12/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine053776GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1053776OTHERGEORGIALICENSE

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

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