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Individual
TIMOTHY TEMITOPE OWOLABI
Active
Individual
TIMOTHY TEMITOPE OWOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37404
AZ
207Q00000X
Family Medicine Physician
Primary
MD436726
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260034
MEDICAID GROUP #
PA
05
—
102330222 0001
—
PA
01
—
120420408
DEPT OF LABOR
PA
01
—
1962663328
FIRST HEALTH
PA
01
—
2218823
MAMSI
PA
01
—
25-1716306
DEVON
PA
01
—
251716306
INFORMED
PA
01
—
283716
UNISON
PA
01
—
434942
HIGHMARK BLUE SHIELD GROUP #
PA
01
—
50086441
CAPITAL BLUECROSS
PA
01
—
6950335
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
9474363
AETNA NON-HMO
PA
01
—
955397-01
CAREFIRST MD
PA
01
—
MD436726
LICENSE
PA
01
—
OW2128757
HIGHMARK BLUESHIELD
PA
01
—
P0010038
GATEWAY
PA
01
—
P00746970
RAILROAD MEDICARE
PA
01
—
U947-0001
CAREFIRST DC
PA
Enumeration date
06/18/2008
Last updated
02/06/2025
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