Anthonia Adetola Olajide-kuku

MD | Pediatrics | Female

Anthonia Adetola Olajide-kuku, MD is a Maple Grove, Minnesota based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Anthonia Adetola Olajide-kuku is 7840 Vinewood Ln N, Maple Grove, Minnesota - 55369-7185. She can be contacted on phone at 763-236-0200. Anthonia Adetola Olajide-kuku is a sole proprietor of her business.
NPI number (Unique professional ID) for Anthonia Adetola Olajide-kuku is 1780667717 which was assigned by NPPES on 23 Nov, 2005 and it was last updated on 28 Dec, 2016. Anthonia Adetola Olajide-kuku license number is 42017 for Pediatrics (208000000X) in Minnesota.
Anthonia Adetola Olajide-kuku 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:
Anthonia Adetola Olajide-kuku basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Anthonia Adetola Olajide-kuku
Credential :MD
Gender :Female
Business Address:
Anthonia Adetola Olajide-kuku 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 :7840 Vinewood Ln N
Maple Grove, MN, 55369-7185
United States
Phone Number :763-236-0200
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 : 1780667717
NPI Entity Type : Individual
First Enrolment Date : 23 Nov, 2005
Last Updated On : 28 Dec, 2016
Medicare Participation:
Anthonia Adetola Olajide-kuku participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :2365525714
Medicare Enrollment ID :I20090529000458
Primary Specialty :Pediatric Medicine
Medical School :Other
Graduation Year :1986
Accepts Medicare?Yes. Anthonia Adetola Olajide-kuku accepts medicare insurance.
Group Practice Association:
Anthonia Adetola Olajide-kuku is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Anthonia Adetola Olajide-kuku is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Allina Health System45875736132902440 Elm St E
Annandale, MN - 553021109
Ph: 3206825225
Yes
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 Anthonia Adetola Olajide-kuku are as mentioned. Primary taxonomy code for Anthonia Adetola Olajide-kuku, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes42017MN
Legacy Identifiers:
Other legacy medical identifiers of Anthonia Adetola Olajide-kuku such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
416327300MEDICAIDMN
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 :2925 Chicago Ave
Minneapolis, MN, 55407-1321
United States
Phone Number :612-262-5000
Business Location:
Patients can refer following map for directions to Anthonia Adetola Olajide-kuku practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.