- Practice location
- 960 Johnson Ferry RD Ste 500, Atlanta, GA 30342-1630
- Phone
- 404-257-0006
- Fax
- 404-851-1316
- Last updated
- July 2, 2022
Anthony Adetola Odubanjo is an Internal Medicine, Critical Care Medicine based in Atlanta, GA. Anthony Adetola Odubanjo practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Anthony Adetola Odubanjo is 1659786754 and holds a License No. MD22279 (ME). The current practice location address for Anthony Adetola Odubanjo is 960 Johnson Ferry RD Ste 500, Atlanta, GA 30342-1630 and can be reached out via phone at 404-257-0006 and via fax at 404-851-1316.
Provider Profile Details
- NPI Number
- 1659786754
- Provider Name
- Anthony Adetola Odubanjo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 960 Johnson Ferry RD Ste 500, Atlanta, GA 30342-1630
- Phone Number
- 404-257-0006
- Fax Number
- 404-851-1316
- Primary Taxonomy
- Internal Medicine, Critical Care Medicine · 207RC0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2014
- Last Update Date
- July 2, 2022
- Certification Date
- July 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 960 Johnson Ferry RD Ste 500
Atlanta, GA 30342-1630 - City
- Atlanta
- State
- Georgia
- Zip
- 30342-1630
- Phone Number
- 404-257-0006
- Fax Number
- 404-851-1316
Provider Business Mailing Address Details
- Address
- 960 Johnson Ferry RD Ste 500
Atlanta, GA 30342-1630 - City
- Atlanta
- State
- GA
- Zip
- 30342-1630
- Phone Number
- 404-257-0006
- Fax Number
- 404-851-1316
License Information
- License Number (1)
- MD22279
- License State (1)
- ME
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 86557
- License State (3)
- GA
- Taxonomy (3)
- Internal Medicine, Critical Care Medicine · 207RC0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Anthony A Odubanjo, MD?
The NPI number of Dr. Anthony A Odubanjo, MD is 1659786754. It was assigned on June 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Anthony A Odubanjo, MD?
Dr. Anthony A Odubanjo, MD is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X), licensed in ME under license number MD22279.
Where does Dr. Anthony A Odubanjo, MD practice?
The practice location is 960 Johnson Ferry RD Ste 500, Atlanta, GA 30342-1630. The office can be reached at 404-257-0006 (phone) or 404-851-1316 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659786754 directly on the NPPES registry website.