Individual
TAJUDEEN OGBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
(219) 836-0034
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
—
200082460
—
IN
01
—
440002427
RR MEDICARE PTAN
IN
Enumeration date
12/28/2005
Last updated
09/23/2014
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