Individual
OLUWATOYIN TEMITOPE IDOWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4488
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4488
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101265638
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101265638
VA
2085R0202X
Diagnostic Radiology Physician
22805
MD
Other
Enumeration date
01/10/2008
Last updated
09/28/2020
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