MEDICARE: KEHINDE OBETO 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
1	208000000X	Pediatrics Physician	4301095940	MI
2	208000000X	Pediatrics Physician	4301108769	MI
3	208M00000X	Hospitalist Physician	35-125903	OH
4	208000000X	Pediatrics Physician	35125903	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46228	OTHER	CO	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184649956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEHINDE OBETO MD

Provider Business Mailing Address
First Line	:	2213 FRANKLIN AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43620-1402
Country	:	US
Telephone Number	:	419-251-2415
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 NAVARRE AVE STE 315
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3224
Country	:	US
Telephone Number	:	419-696-6336
Fax Number	:	734-712-3855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/10/2025

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Directions to “ KEHINDE OBETO MD” Practice Location

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