Organization
TAJUDEEN OGBARA, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJUDEEN OGBARA M.D. (PRESIDENT)
(219) 836-2022
Entity
Organization
Contact information
Practice address
2075 INDIANAPOLIS BLVD, WHITING, IN 46394-1948
(219) 659-7000
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-2022
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01040726A
IN
207RI0200X
Infectious Disease Physician
Primary
036085105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200310120
—
IN
01
—
DB9982
RR MEDICARE
—
Enumeration date
04/14/2006
Last updated
09/23/2014
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