Iyabode Ogunlade, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M8471 Issued in TX

Legal business name

IYABODE OGUNLADE, MD PA

Practice address

1602 Rock Prairie Rd
Ste 3000
College Station, TX 77845-8306

Phone

(979) 764-4043

Fax

(979) 694-2175

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Iyabode A Ogunlade, MD

Title

MD/Owner

Phone

(979) 764-4043

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1598090599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "STE 3000",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-764-4043",
            "fax_number": "979-694-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "STE 3000",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-764-4043",
            "fax_number": "979-694-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYABODE OGUNLADE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "OGUNLADE",
        "authorized_official_first_name": "IYABODE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "979-764-4043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M8471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in College Station, TX
• Providers in College Station, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.