Individual
OLUFUNMILAYO BAYODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 N CHARLES ST, TOWSON, MD 21204-6800
(443) 849-3760
Mailing address
6565 N CHARLES ST, TOWSON, MD 21204-6800
(443) 849-3760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD434463
PA
208M00000X
Hospitalist Physician
MD434463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101100
—
MD
05
—
102252592
—
PA
01
—
1585928
GATEWAY-WMG
PA
01
—
2082451
HIGHMARK BLUE SHIELD-WMG
PA
01
—
30081620
AMERIHEALTH MERCY-WMG
PA
01
—
393306
UNISON-WMG
PA
01
—
415724
UPMC-WMG
PA
01
—
968849
CAREFIRST MD BCBS
MD
Enumeration date
07/21/2008
Last updated
12/05/2014
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