Individual
DR. OLUWAKEMI OGUNSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
14601 NEWLYN PL, LAUREL, MD 20707-3119
(240) 460-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D74664
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2009
Last updated
04/23/2020
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