MEDICARE: DR. JULIUS KEHINDE TOKUNBOH 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	207R00000X	Internal Medicine Physician	9800405	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952410110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIUS KEHINDE TOKUNBOH M.D.

Provider Business Mailing Address
First Line	:	2317 CONCORD LAKE RD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2813
Country	:	US
Telephone Number	:	704-933-2101
Fax Number	:	704-933-1150

Provider Business Practice Location Address
First Line	:	2317 CONCORD LAKE RD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2813
Country	:	US
Telephone Number	:	704-933-2101
Fax Number	:	704-933-1150

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/15/2023

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