Individual
DR. OKEOWO D IBITOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
Mailing address
PO BOX 64916, BALTIMORE, MD 21264-4916
(443) 481-6573
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0051437
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS-DC
—
01
—
0039732900
FEDERAL BLACK LUNG BENEFITS
—
01
—
0481822
MAMSI
—
01
—
110178760
RAILROAD MEDICARE-PALMETTO
—
01
—
1154322352
NPI NUMBER
—
01
—
21699
JHHC
—
01
—
2452142
AETNA/US HEALTHCARE HMO
—
01
—
521169362
KAISER PERMANENTE
—
01
—
5861765
AETNA / US HEALTHCARE
—
01
—
60389103
BCBS-MD
—
01
—
689LD128
MEDICARE PIN
—
01
—
723540200
AMERIGROUP - AMERICAID
—
05
—
723540200
—
MD
01
—
AH01
ENVOY SITE ID
—
01
—
D51437
MEDICAL LICENSE
—
01
—
G71393
UPIN
—
Enumeration date
08/10/2005
Last updated
06/16/2008
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