Provider Demographics
NPI:1669608436
Name:ATANDEYI, KOLAWOLE OMODAYO (MD)
Entity type:Individual
Prefix:MR
First Name:KOLAWOLE
Middle Name:OMODAYO
Last Name:ATANDEYI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:960 JOHNSON FERRY RD STE 500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1630
Mailing Address - Country:US
Mailing Address - Phone:404-257-0006
Mailing Address - Fax:404-851-1316
Practice Address - Street 1:960 JOHNSON FERRY RD STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1630
Practice Address - Country:US
Practice Address - Phone:404-257-0006
Practice Address - Fax:404-851-1316
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2021-05-23
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Provider Licenses
StateLicense IDTaxonomies
GA073915207RN0300X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology