Individual
DR. OLUWOLE OLUYINKA OLUYEMI KONIGBAGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2490
(718) 920-5731
Mailing address
1 NEWBURY CT, NORTH HAVEN, CT 06473-3287
(860) 265-9619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P115301
NY
207RN0300X
Nephrology Physician
Primary
4301517155
MI
207RN0300X
Nephrology Physician
P115301
NY
Other
Enumeration date
08/17/2022
Last updated
05/08/2026
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