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NPI Code Detail

MEDICARE: DR. LUWAJI ODULEYE MBBCH

MEDICARE:  DR. LUWAJI  ODULEYE  MBBCH
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMD

General Provider Information

NPI Number : 1811721137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUWAJI ODULEYE MBBCH
Provider Business Mailing Address
First Line : 901 HARRY S TRUMAN DR N
Second Line :
City : LARGO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 240-677-0021
Fax Number :
Provider Business Practice Location Address
First Line : 4000 GARDEN CITY DR STE 810
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2419
Country : US
Telephone Number : 240-677-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 08/28/2024

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Directions to “ DR. LUWAJI ODULEYE MBBCH” Practice Location

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