Individual
DR. OSAHON JOHN OBAKPOLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4727 FRIENDSHIP AVE STE 200, PITTSBURGH, PA 15224-1778
(412) 235-5810
(412) 235-5890
Mailing address
4727 FRIENDSHIP AVE STE 200, PITTSBURGH, PA 15224-1778
(412) 235-5810
(412) 235-5890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD452334
PA
207Q00000X
Family Medicine Physician
U3970
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD452334
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
U3970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103054062
—
PA
01
—
13593382
CAQH
—
Enumeration date
06/27/2011
Last updated
01/29/2024
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