Individual
ABIOLA ADEBOLA FANIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
900 E SWAN CREEK RD, FT WASHINGTON, MD 20744-5250
(301) 292-1590
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D93456
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
06/28/2022
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