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SEGUN T DAWODU, MD, JD, MBA, LLM, MS – NPI #1003800053
Pain Medicine

NPI Profile for Dr SEGUN T DAWODU in GETTYSBURG, PA.

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Contact Information

SEGUN T DAWODU, MD, JD, MBA, LLM, MS
40 V TWIN DR
SUITE 205
GETTYSBURG, PA  17325-7875
 Phone: 717-339-2790
 Fax: 717-798-3162
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Pain Medicine

 2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Interventional Pain Medicine

 208VP0014X 09 Physician/Interventional Pain Management
 

Physical Medicine & Rehabilitation

 208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Spinal Cord Injury Medicine

 2081P0004X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

 2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SEGUN T DAWODU · (Male)

NPI Number 1003800053
Status Active
Credentials MD, JD, MBA, LLM, MS
Entity Individual
Enumeration date 09/06/2005
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # D56237
  • PA License # MD071276L
  • VA License # 0101227545
  • MD Medicaid 699631100
  • PA Medicaid 102996450
  • MD Other 7767187 AETNA
  • MD Other F216 BCBS
  • MD Other 67512780-01 CIGNA
  • VA Other 102524 ANTHEM BCBS
Hospital affiliation(s)
  • CHAMBERSBURG HOSPITAL - (Acute Care)
    112 NORTH SEVENTH STREET
    CHAMBERSBURG, PA 17201
  • GETTYSBURG HOSPITAL - (Acute Care)
    147 GETTYS STREET
    GETTYSBURG, PA 17325
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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