Provider Demographics
NPI:1992116719
Name:OLAIGBE-POPOOLA, OLAOLUWA (MD)
Entity type:Individual
Prefix:
First Name:OLAOLUWA
Middle Name:
Last Name:OLAIGBE-POPOOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OLAOLUWA
Other - Middle Name:
Other - Last Name:OLAIGBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:330 23RD AVE N STE 140
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1536
Mailing Address - Country:US
Mailing Address - Phone:615-320-8887
Mailing Address - Fax:615-342-6844
Practice Address - Street 1:330 23RD AVE N STE 140
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1536
Practice Address - Country:US
Practice Address - Phone:615-320-8887
Practice Address - Fax:615-342-6844
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN641012084P0800X
MST-28352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry