Dr. Akinniyi Babasola Odutola --
M.D. | Pediatrics | Male
Dr. Akinniyi Babasola Odutola --, M.D. is a Longmeadow, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Akinniyi Babasola Odutola -- is
84 Lawrence Dr, Longmeadow, Massachusetts - 01106-1618. He can be contacted on phone at
413-241-6152 and fax number 413-241-6153.
Dr. Akinniyi Babasola Odutola -- is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Akinniyi Babasola Odutola -- is
1588629240 which was assigned by NPPES on 18 Apr, 2006 and it was last updated on 07 Mar, 2023.
Dr. Akinniyi Babasola Odutola -- license number is
210668 for Pediatrics (208000000X) in Massachusetts.
Dr. Akinniyi Babasola Odutola -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Akinniyi Babasola Odutola -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Akinniyi Babasola Odutola -- |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Akinniyi Babasola Odutola -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 84 Lawrence Dr
Longmeadow, MA, 01106-1618
United States |
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| Phone Number : | 413-241-6152 |
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| Fax Number : | 413-241-6153 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1588629240 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Apr, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Akinniyi Babasola Odutola -- are as mentioned. Primary taxonomy code for Dr. Akinniyi Babasola Odutola --, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 210668 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Akinniyi Babasola Odutola -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000049829 | Other (non-Medicare) | MA | BMC HEALTHNET # |
| 0030525 | Other (non-Medicare) | MA | NEIGHBORHOOD HEALTH PLAN # |
| 210668 | Other (non-Medicare) | | provider Connecticare # |
| 2159821 / 110080500A | MEDICAID | MA | |
| 2450995 | Other (non-Medicare) | | UNITED HEALTHCARE # |
| 32424 | Other (non-Medicare) | MA | provider HNE # |
| 3842111 | Other (non-Medicare) | | AETNA # |
| 49849 | Other (non-Medicare) | MA | PROVIDER CHILDRENS MEDICAL SECURITY PLAN # |
| 692538 | Other (non-Medicare) | | TUFTS # |
| 8207136 | Other (non-Medicare) | MA | Cigna |
| 97431403 | Other (non-Medicare) | MA | NETWORK HEALTH |
| H78740 | MEDICARE UPIN | MA | |
| J25872 | Other (non-Medicare) | MA | BC/BS number |
| MO0497950A | Other (non-Medicare) | MA | CSR number |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 475 Sumner Ave
Springfield, MA, 01108-2321
United States |
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| Phone Number : | 413-241-6152 |
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| Fax Number : | 413-241-6153 |
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Business Location:
Patients can refer following map for directions to
Dr. Akinniyi Babasola Odutola -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.