Individual
DR. MOBOLAJI AYODEJI OBAYOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15352 76TH RD, FLUSHING, NY 11367-3183
(718) 820-0120
(718) 820-0121
Mailing address
125 LAKE ST APT 5J-N, WHITE PLAINS, NY 10604-2437
(240) 252-9401
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
300681
NY
208M00000X
Hospitalist Physician
25MA10649300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
300681
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2016
Last updated
10/06/2023
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