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NPI Code Detail

MEDICARE: GBEMIGA GBOYEGA SOFOWORA MD

MEDICARE: GBEMIGA GBOYEGA SOFOWORA 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
1207RC0000XCardiovascular Disease Physician35.096296OH

General Provider Information

NPI Number : 1992012579
Entity Type Code : Individual
Provider Name (Legal Business Name) : GBEMIGA GBOYEGA SOFOWORA MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-7677
Fax Number : 614-293-1456
Provider Business Practice Location Address
First Line : 6700 UNIVERSITY BLVD
Second Line :
City : DUBLIN
State : OH
Zip : 43016-3508
Country : US
Telephone Number : 614-293-7677
Fax Number : 614-293-1456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2010
Last Update Date : 02/26/2026

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Directions to “ GBEMIGA GBOYEGA SOFOWORA MD” Practice Location

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