Provider / Organization | NPI | Date Certified |
---|---|---|
OLUFADEJIMI ATANDA KAREEM | 1639790983 | 2022-06-26 |
Olufadejimi Atanda Kareem is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639790983. Registration indicates Olufadejimi Atanda Kareem is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Olufadejimi Atanda Kareem MD |
Practice Office Address | 2302 COLLEGE AVE CONWAY, AR US |
Practice Office Telephone | 5015135279 |
Mailing Address | 2302 COLLEGE AVE CONWAY, AR 720346297 US |
Business Telephone | 5015135279 |
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | E14589
AR |
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |