Individual
THOMAS OBISESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-3290
(202) 865-3833
Mailing address
2041 GEORGIA AVE NW TOWER 6101, WASHINGTON, DC 20060-0001
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD19950
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010015413
—
VA
05
—
023971400
—
DC
05
—
758141601
—
MD
Enumeration date
12/06/2006
Last updated
11/22/2019
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