Organization
OLADAYO OSINUGA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADAYO A OSINUGA MD (CEO OWNER)
(770) 474-5470
Entity
Organization
Contact information
Practice address
4348 KLONDIKE ROAD, LITHONIA, GA 30038-4417
(770) 474-5470
(770) 474-4620
Mailing address
4348 KLONDIKE ROAD, LITHONIA, GA 30038-4417
(770) 474-5470
(770) 474-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051703
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00194327
MEDICARE RAILROAD
GA
Enumeration date
03/02/2007
Last updated
08/22/2020
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