Provider Demographics
NPI:1871163006
Name:OLADIPO IGBEKOYI MD PLLC
Entity type:Organization
Organization Name:OLADIPO IGBEKOYI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLADIPO
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBEKOYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-750-2177
Mailing Address - Street 1:522 NW SPRING HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-9667
Mailing Address - Country:US
Mailing Address - Phone:775-750-2177
Mailing Address - Fax:505-370-4126
Practice Address - Street 1:522 NW SPRING HOLLOW LN
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-9667
Practice Address - Country:US
Practice Address - Phone:775-750-2177
Practice Address - Fax:505-370-4126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty