Provider Demographics
NPI:1336670330
Name:OGUNDELE, OLOLADE OLUWAKEMI (MD)
Entity type:Individual
Prefix:DR
First Name:OLOLADE
Middle Name:OLUWAKEMI
Last Name:OGUNDELE
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:OLOLADE
Other - Middle Name:OLUWAKEMI
Other - Last Name:OGUNDIMU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:469-291-3369
Mailing Address - Fax:469-645-0078
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-7000
Practice Address - Fax:832-524-5242
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU0411207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology