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NPI Code Detail

MEDICARE: DR. FABIAN ONYEKA OGALA MD

MEDICARE: DR. FABIAN ONYEKA OGALA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME169357FL

General Provider Information

NPI Number : 1265516793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FABIAN ONYEKA OGALA MD
Provider Business Mailing Address
First Line : 10300 SW 216TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33190-1003
Country : US
Telephone Number : 305-252-5899
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SW 216TH ST
Second Line :
City : CUTLER BAY
State : FL
Zip : 33190-1003
Country : US
Telephone Number : 305-253-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 02/02/2026

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