MOBOLAJI O AJAO MD NPI 1851522486

NPI Information

NPI: 1851522486
Provider Name: MOBOLAJI O AJAO, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
75 FRANCIS ST
ASB1 3 - 073
BOSTON, MA
ZIP 02115
Phone: (617) 525-8582
Get Directions

Mobolaji O Ajao, MD is a gynecology obstetrics gynecology in Boston, MA with 20 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Mobolaji O Ajao, MD NPI is 1851522486. 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:

75 FRANCIS ST
ASB1 3 - 073
BOSTON, MA
ZIP 02115-110
Phone: (617) 525-8582
Fax: (617) 975-0900

The NPI 1851522486 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 7/30/2009 and was last updated on 8/10/2016.

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	207V00000X	Obstetrics & Gynecology		54025	MINNESOTA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207VG0400X	Obstetrics & Gynecology	Gynecology	258209	MASSACHUSETTS	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	160003524	MEDICARE PIN	MINNESOTA

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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