Dr SHAMUSIDEEN O OGBULU is a male medical professional, specializing in Internal Medicine. He graduated in 1995.
VIDANT MEDICAL GROUP LLC
500 ACADEMY ST S
VIDANT ROANOKE CHOWAN HOSPITALISTS
AHOSKIE
NC
279103248
Tel: 2522093708
| Npi | 1144478736 |
| Pac Id | 4688741812 |
| Professional Enrollment Id | I20111026000946 |
| Last Name | OGBULU |
| First Name | SHAMUSIDEEN |
| Middle Name | O |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Group Practice Pac Id | 0345343893 |
| Number Of Group Practice Members | 645 |
| Line 1 Street Address | 500 ACADEMY ST S |
| Line 2 Street Address | VIDANT ROANOKE CHOWAN HOSPITALISTS |
| Marker Of Address Line 2 Suppression | |
| City | AHOSKIE |
| State | NC |
| Zip Code | 279103248 |
| Phone Number | 2522093708 |
| Hospital Affiliation Ccn 1 | 340099 |
| Hospital Affiliation Lbn 1 | VIDANT ROANOKE CHOWAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 490052 |
| Hospital Affiliation Lbn 2 | RIVERSIDE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 490048 |
| Hospital Affiliation Lbn 3 | LEWISGALE MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 341304 |
| Hospital Affiliation Lbn 4 | VIDANT BERTIE HOSPITAL |
| Hospital Affiliation Ccn 5 | 340040 |
| Hospital Affiliation Lbn 5 | VIDANT MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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