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Contact Information

AYODEJI O ROSANWO, MD
101 E WT HARRIS BLVD
BUILDING 1000 - SUITE 1110
CHARLOTTE, NC28262-3485
 Phone: 704-863-9850
 Fax: 704-863-9851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AYODEJI O ROSANWO · (Male)

NPI # 1902862360
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 02/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01043372A
  • NC License # 2014-01481
  • IN Medicaid 200314410
  • NC Medicaid 1902862360
  • SC Medicaid NC2346
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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