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Contact Information

BOLAJI S SOFOLA, MD
915 10TH AVE NW
ARDMORE, OK73401-4025
 Phone: 580-226-8310
 Fax: 580-223-3911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for BOLAJI S SOFOLA · (Male)

NPI Number 1366406217
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2006
Last updated 01/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 18035
  • OK Medicaid 100102400A
  • OK Other 731521343 FEDERAL TAX NUMBER
Hospital affiliation(s)
  • ARBUCKLE MEMORIAL HOSPITAL - (Critical Access)
    2011 WEST BROADWAY
    SULPHUR, OK 73086
  • CHICKASAW NATION MEDICAL CENTER - (Acute Care)
    1921 STONECIPHER BLVD
    ADA, OK 74820
  • MEDICAL CENTER OF SOUTHEASTERN OKLAHOMA - (Acute Care)
    1800 UNIVERSITY BOULEVARD
    DURANT, OK 74702
  • MERCY MEMORIAL HEALTH CENTER - (Acute Care)
    1011 FOURTEENTH AVENUE, NORTHWEST
    ARDMORE, OK 73401
  • ORTHOPEDIC HOSPITAL - (Acute Care)
    1044 SW 44TH, SUITE 350
    OKLAHOMA CITY, OK 73109
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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