Individual provider · Type 1 NPI

Omolola Ajoke Omotoso, MD

Internal Medicine Physician · Moncks Corner, SC

NPI number 1154514529 Active

Practice location

110 Executive Parkway
Moncks Corner, SC 29461

Fax (843) 899-9091

Mailing address

PO Box 1116
Moncks Corner, SC 29461-1116

Other practice locations

  • 3015 N Ballas Rd, St. Louis, MO 63131-2329 · (314) 996-5772
  • 1101 W Liberty St, Farmington, MO 63640-1921 · (573) 705-1272

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XMT185765 (PA)
Internal Medicine Physician 207R00000X31061 (SC)
Hospitalist Physician 208M00000X2016004893 (MO)
Internal Medicine Physician Primary 207R00000X063694 (GA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1154514529

Omolola Ajoke Omotoso, MD's National Provider Identifier is 1154514529, issued on Aug 20, 2007. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Moncks Corner, SC. The record was last updated on Jul 1, 2026.