Individual
DR. ADERONKE OLUYEMISI OMOTADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 LIGHTHOUSE PT E STE 260, BALTIMORE, MD 21224-4791
(410) 801-6575
Mailing address
227 GRINDALL ST, BALTIMORE, MD 21230-4103
(540) 798-2345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239732
VA
2084P0800X
Psychiatry Physician
Primary
D0067926
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416025800
—
MD
Enumeration date
08/29/2006
Last updated
06/28/2023
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