NPI age
16 years
Enumerated 2010-05-19
● Active Type 2 · Organization
Coladom Medical Group, P.A.
Coladom Medical Group, P.A. is 1 of 12343 internal medicine organizations in Texas.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Odulaja
Director
Last NPPES update
2011-08-19
Source: monthly bulk 2026-05
How this organization compares
Across 12343 active internal medicine providers in Texas.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-05Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
510 Med Ct, Suite 107
San Antonio, TX 782583482
Mailing address
510 Med Ct, Suite 107
San Antonio, TX 782583482
Authorized official
Kolawole Ademuyiwa Odulaja, M.D.
Director
📞 2104550074
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Sergio Duque, H.I.S. Hearing Instrument Specialist NPI 1063886257
- Sandra Garza Garcia, PA Physician Assistant NPI 1194678276
- Amita Kumar, MD Internal Medicine NPI 1992968481
- Kolawole Odulaja, MD Internal Medicine NPI 1043384654
Specialties
-
Internal Medicine PrimaryA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 217153001 | |
| 01 | 0008TN | BLUE CROSS BLUE SHIELD OF TEXAS |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.