Healthcare Provider Details

I. General information

NPI: 1578770871
Provider Name (Legal Business Name): TAOFEEK KUNLE OWONIKOKO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

250 W PRATT ST STE 900
BALTIMORE MD
21201-6808
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-7904
  • Fax:
Mailing address:
  • Phone: 410-328-5795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD427553
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD0099080
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: