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NPI Code Detail

MEDICARE: OLUBUNMI GAHIE NP

MEDICARE:   OLUBUNMI  GAHIE  NP
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
12084B0040XBehavioral Neurology & Neuropsychiatry PhysicianR265877MD

General Provider Information

NPI Number : 1750240578
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUBUNMI GAHIE NP
Provider Business Mailing Address
First Line : 4095 DORSEYS RIDGE SQ
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-5469
Country : US
Telephone Number : 516-603-4393
Fax Number :
Provider Business Practice Location Address
First Line : 4095 DORSEYS RIDGE SQ
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-5469
Country : US
Telephone Number : 516-603-4393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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