Individual
DR. DAVID OGOLA NYANJOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10710 CHARTER DRIVE, STE 310, COLUMBIA, MD 21044-3260
(410) 997-5944
(410) 997-1720
Mailing address
10710 CHARTER DRIVE, STE 310, COLUMBIA, MD 21044-3260
(410) 997-5944
(410) 997-1720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0036974
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0036974
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0036974
MD
Other
Enumeration date
06/16/2005
Last updated
10/04/2012
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