Healthcare Provider Details

I. General information

NPI: 1184649956
Provider Name (Legal Business Name): KEHINDE OBETO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KEHINDE ERIBO M.D.

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 NAVARRE AVE STE 315
OREGON OH
43616-3224
US

IV. Provider business mailing address

2213 FRANKLIN AVE
TOLEDO OH
43620-1402
US

V. Phone/Fax

Practice location:
  • Phone: 419-696-6336
  • Fax: 734-712-3855
Mailing address:
  • Phone: 419-251-2415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301095940
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301108769
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35-125903
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35125903
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: