Individual
SANDRA OBIANUJU OGUNGBEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01094271A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01094271A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01094271A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300098228
—
IN
Enumeration date
07/02/2014
Last updated
03/24/2025
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