DR. KOLADE MUCHAILI AGBOOLA MD NPI 1356791644

NPI Information

  • NPI: 1356791644
  • Provider Name: DR. KOLADE MUCHAILI AGBOOLA, MD
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2555 COURT DR STE 200
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 867-2141

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NPI Details

DR. Kolade Muchaili Agboola, MD is a clinical cardiac electrophysiology internal medicine in Gastonia, NC with 9 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Kolade Muchaili Agboola, MD NPI is 1356791644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

2555 COURT DR STE 200
GASTONIA, NC
ZIP 28054-178
Phone: (704) 867-2141
Fax: (704) 867-2308

The NPI 1356791644 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 6/16/2016 and was last updated on 5/28/2024.

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
1207RC0001XInternal MedicineClinical Cardiac Electrophysiology2024-01238NORTH CAROLINAYes
2207RC0000XInternal MedicineCardiovascular Disease2024-01238NORTH CAROLINANo

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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