National Provider Identifier Database

OLABODE O DESALU, MD – NPI #1093732950
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

OLABODE O DESALU, MD
900 S 52ND ST STE 200
ROGERS, AR72758-8640
Phone: 479-254-1100
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for OLABODE O DESALU

NPI Number 1093732950
Credentials MD
Entity Individual
Enumeration date 07/16/2006
Last updated 11/22/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • AR License #: E-11228
  • AR License #: T2018-031
  • LA License #: 15345R
  • AR Medicaid: 176387001
  • LA Medicaid: 1470635
  • MO Medicaid: 200069660
  • OK Medicaid: 200775600A
Hospital affiliation n/a

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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