Individual
DR. FOLUSO AYODAPO JABULANI OBISANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0002
(202) 806-0006
Mailing address
6256 SANDCHAIN RD, COLUMBIA, MD 21045-4521
(667) 229-7562
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/29/2026
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