Healthcare Provider Details

I. General information

NPI: 1538327903
Provider Name (Legal Business Name): KHADIJAT ARINOLA OGUNBIYI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KHADIJAT ARINOLA JUNAID MD

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16506 FM 529 RD STE 116
HOUSTON TX
77095
US

IV. Provider business mailing address

PO BOX 1239
CYPRESS TX
77410-1239
US

V. Phone/Fax

Practice location:
  • Phone: 281-815-3812
  • Fax: 833-217-0891
Mailing address:
  • Phone: 281-815-3812
  • Fax: 833-217-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP0921
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: