Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Oluwatobi Ezekiel Odetola, MBBS

Individual provider Internal Medicine Physician · NPI 1104370477

Oluwatobi Ezekiel Odetola, MBBS is a Hematology/Oncology in Fargo, North Dakota. Qualified in 2011, 15 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and North Dakota.

Years since qualifying
15
Licensed in
IL, ND
In the registry since
2016
Specialties on file
3
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

820 4th St N
Fargo, ND 58102-4539
Phone: (012) 346-1617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence PT21039 (ND)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.069415 (IL)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 125.069415 (IL)

Record details

NPI number1104370477
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedAugust 4, 2016
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Fargo