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Individual

DR. IFEANYI MICHAEL OLELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
10339 DEMOCRACY LN STE A, FAIRFAX, VA 22030-2521
(301) 485-6468
(703) 955-0915
Mailing address
10339 DEMOCRACY LN STE A, FAIRFAX, VA 22030-2521
(301) 485-6468
(248) 243-8804

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102204914
VA
2084P0800X
Psychiatry Physician
18966
CA
2084P0800X
Psychiatry Physician
DO034697
DC
2084P0800X
Psychiatry Physician
H0085983
MD
2084P0800X
Psychiatry Physician
OS13869
FL

Other

Enumeration date
07/18/2014
Last updated
05/27/2025
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