Individual
DR. OLUWAFUNKE 0 IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(202) 507-0511
Mailing address
1221 MERCANTILE LN, LARGO, MD 20774-5374
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D86262
MD
208600000X
Surgery Physician
MT206467
PA
Other
Enumeration date
06/03/2014
Last updated
05/23/2024
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