Healthcare Provider Details

I. General information

NPI: 1295990588
Provider Name (Legal Business Name): ABIMBOLA O. OLOWO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 FOULK RD
WILMINGTON DE
19803-3708
US

IV. Provider business mailing address

408 JANET CT
NEW CASTLE DE
19720-5628
US

V. Phone/Fax

Practice location:
  • Phone: 302-897-7900
  • Fax:
Mailing address:
  • Phone: 302-897-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR-0026356
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0079914
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0009038
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: