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Kikelomo Olamide Olaosebikan

Internal Medicine

Allopathic & Osteopathic Physicians

1270 Prince Ave Suite 201, Athens, GA 30606

PECOS Enrollment

This provider is enrolled in PECOS as KIKELOMO OLAOSEBIKAN.

Based on the most recent information from CMS, provider Kikelomo Olamide Olaosebikan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1548843758
Provider Type
Individual
Full Name
Olaosebikan, Kikelomo Olamide
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/5/2021
Last Updated
4/29/2024

Contact Information

Practice Location

1270 Prince Ave Suite 201, Athens, GA 30606

(706) 475-7055

Unlisted Fax

Mailing Location

1199 Prince Ave #70, Athens, GA 30606

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 99204 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kikelomo Olamide Olaosebikan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bond, Mary T

Al Anbari, Raghda

Shillinger, Mallory

Almasri, Jehad

Richardson, W Scott

Watson, Stephanie Nguyen

Appiah-Pippim, Catherine E

Jeyaretnam, Vinod

Reddy, Malini Kancharla

Middendorf, Christopher Thomas