Oladayo Davidson Shobola, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301091706 Issued in MI

Practice address

2751 E Jefferson Ave
Detroit, MI 48207-4180

Phone

(313) 993-3434

NPI assigned

Jul 11, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• At Home Physicians, PC

  • Community Health Worker
  • Southfield, MI
  • NPI 1154628204
  NPD (past)
• Gregory Haines MD LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Taylor, MI
  • NPI 1770760175
  NPD (past)
• Henry Ford Health Eastwood Behavioral Health

  • Social Worker
  • Clinton Township, MI
  • NPI 1396787701
  NPD (past)
• Psychiatric Support Services PLLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Canton, MI
  • NPI 1104147347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1497919120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 ARCOLA ST",
            "address_2": "UNIT 2",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074180",
            "telephone_number": "313-993-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBOLA",
        "first_name": "OLADAYO",
        "middle_name": "DAVIDSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301091706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyshinique Shirley
• Hazel Shively, LLMSW
• Jeffery Everett Shively
• Shivkumar Prabhu, M.D., P.C.
• Khulood Shkookani Alqous, MD
• Nakeisha Ramon Shockley
• Naja Yahya Shohatee
• Aasha Saraswati Shonek
• Samuel Shopinski
• Shores Internal Medicine P.C.

• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.