- Practice location
- 7601 Pioneers Blvd, Lincoln, NE 68506-4675
- Phone
- 402-484-6677
- Fax
- —
- Last updated
- January 28, 2022
Ayodale Samuella Odulate is a Radiology, Diagnostic Radiology based in Lincoln, NE. Ayodale Samuella Odulate practices in Lincoln, NE and has the professional credentials of MD. The NPI Number for Ayodale Samuella Odulate is 1952378283 and holds a License No. 225130 (MA). The current practice location address for Ayodale Samuella Odulate is 7601 Pioneers Blvd, Lincoln, NE 68506-4675 and can be reached out via phone at 402-484-6677.
Provider Profile Details
- NPI Number
- 1952378283
- Provider Name
- Ayodale Samuella Odulate
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7601 Pioneers Blvd, Lincoln, NE 68506-4675
- Phone Number
- 402-484-6677
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Other Names
- Dr. Ayodale Samuella Johnson, MD (Former Name)
- Provider Enumeration Date
- March 6, 2006
- Last Update Date
- January 28, 2022
- Certification Date
- January 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7601 Pioneers Blvd
Lincoln, NE 68506-4675 - City
- Lincoln
- State
- Nebraska
- Zip
- 68506-4675
- Phone Number
- 402-484-6677
Provider Business Mailing Address Details
- Address
- 3660 Arlington Ave
Riverside, CA 92506-3912 - City
- Riverside
- State
- CA
- Zip
- 92506-3912
License Information
- License Number (1)
- 225130
- License State (1)
- MA
- Taxonomy (1)
- General Practice · 208D00000X
- License Number (2)
- A104364
- License State (2)
- CA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · 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. Ayodale S Odulate, MD?
The NPI number of Dr. Ayodale S Odulate, MD is 1952378283. It was assigned on March 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ayodale S Odulate, MD?
Dr. Ayodale S Odulate, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 225130.
Where does Dr. Ayodale S Odulate, MD practice?
The practice location is 7601 Pioneers Blvd, Lincoln, NE 68506-4675. The office can be reached at 402-484-6677 (phone).
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 1952378283 directly on the NPPES registry website.