MEDICARE: BIYI OYEFULE M.D.

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	2084P0800X	Psychiatry Physician	MD034392E	PA

General Provider Information

NPI Number	:	1790868552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIYI OYEFULE M.D.

Provider Business Mailing Address
First Line	:	8522 LYONS PL
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-1912
Country	:	US
Telephone Number	:	610-639-3288
Fax Number	:	215-937-0164

Provider Business Practice Location Address
First Line	:	8522 LYONS PL
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-1912
Country	:	US
Telephone Number	:	610-639-3288
Fax Number	:	215-937-0164

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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