Individual
DR. SERENA MICHELLE OGUNWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2024 E MONUMENT ST STE 2600, BALTIMORE, MD 21287-0028
(410) 955-5000
(410) 955-0476
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D85050
MD
208M00000X
Hospitalist Physician
D85050
MD
208M00000X
Hospitalist Physician
R2693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371862901
—
TX
01
—
371862902
CSHCN
TX
Enumeration date
04/09/2014
Last updated
08/20/2024
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