DR. ENIOLA ADEBAYO OKELANA MD FCCP NPI 1609856566

NPI Information

NPI: 1609856566
Provider Name: DR. ENIOLA ADEBAYO OKELANA, MD, FCCP
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
433B S SYCAMORE ST
PETERSBURG, VA
ZIP 23803
Phone: (804) 732-0248
Get Directions

DR. Eniola Adebayo Okelana, MD, FCCP is a pulmonary disease internal medicine in Petersburg, VA with 29 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Eniola Adebayo Okelana, MD, FCCP NPI is 1609856566. 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:

433B S SYCAMORE ST
PETERSBURG, VA
ZIP 23803-042
Phone: (804) 732-0248
Fax: (804) 732-8475

The NPI 1609856566 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 1/18/2006 and was last updated on 1/12/2021.

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	207P00000X	Emergency Medicine		0101052627	VIRGINIA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	0101052627	VIRGINIA	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	010195489	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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