Olufemi Abiodun Ajani, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Aurora, CO

NPI 1124302104 · NPPES record last updated Oct 7, 2011

Key facts

NPI
1124302104
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
4151 (CO)
Practice address
13123 E 16TH Ave
Neurosurgery Department
Aurora, CO 80045-7106
Phone
(303) 724-6031
Fax
(720) 777-7272
NPI assigned
Oct 7, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4151COMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4151 CO Yes

Addresses

Primary practice location

13123 E 16TH Ave
Neurosurgery Department
Aurora, CO 80045-7106

Mailing address

13001 E 17TH Place
University of Colorado Denver School of Medicine Gme
Aurora, CO 80045
Phone (303) 724-6031

Other providers in Aurora, CO

All providers in Aurora, CO · Student in an Organized Health Care Education/Training Program in Colorado

Sources for this page

Verify at the official NPI Registry.