Individual
DR. OSAMUYIMEN O IGBINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 IRVING ST NW, SUITE 208 S, WASHINGTON, DC 20010-2927
(202) 291-4101
(202) 291-4102
Mailing address
PO BOX 940, BOWIE, MD 20718-0940
(202) 291-4101
(202) 291-4102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D74336
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054743300
—
MD
Enumeration date
06/19/2012
Last updated
08/25/2021
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