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Individual
IVIE O OKUNDAYE
Active
Individual
IVIE O OKUNDAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A156582
CA
207RN0300X
Nephrology Physician
036168318
IL
207RN0300X
Nephrology Physician
23179
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15696403
CAQH NUMBER
NV
01
—
23179
MD NEVADA LICENSE
NV
Enumeration date
04/02/2015
Last updated
05/09/2024
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