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NPI Code Detail

MEDICARE: OBIANUJU MBA M.D.

MEDICARE:   OBIANUJU  MBA  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
1207Q00000XFamily Medicine PhysicianMT194305PA
2208M00000XHospitalist Physician51560CO

General Provider Information

NPI Number : 1952543852
Entity Type Code : Individual
Provider Name (Legal Business Name) : OBIANUJU MBA M.D.
Provider Business Mailing Address
First Line : 6500 W 104TH AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-4189
Country : US
Telephone Number : 310-766-5582
Fax Number :
Provider Business Practice Location Address
First Line : 6500 W 104TH AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-4189
Country : US
Telephone Number : 720-653-3440
Fax Number : 720-653-3411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2009
Last Update Date : 05/22/2024

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Directions to “ OBIANUJU MBA M.D.” Practice Location

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