Individual
DR. ENIOLA ADEBAYO OKELANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FCCP
Contact information
Practice address
433B S SYCAMORE ST, PETERSBURG, VA 23803-5042
(804) 732-0248
(804) 732-8475
Mailing address
9003 WALHALA CIR, RICHMOND, VA 23236-1599
(804) 683-5651
(804) 675-7744
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101052627
VA
207RP1001X
Pulmonary Disease Physician
0101052627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010195489
—
VA
Enumeration date
01/18/2006
Last updated
09/11/2024
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