Individual
MODUPE OLUWAFUNMILAYO OBADINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7325 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-3618
(301) 345-3966
(301) 982-2937
Mailing address
7325 HANOVER PKWY, SUITE A, GREENBELT, MD 20770-3618
(301) 345-3966
(301) 982-2937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0043159
MD
207RH0003X
Hematology & Oncology Physician
Primary
D0043159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405180
UNITED HEALTHCARE
MD
01
—
100587
JOHNS HOPKINS HEALTHCARE
MD
05
—
190461200
—
MD
01
—
282344
MDIPA
MD
01
—
497106
NCPPO
MD
01
—
521863411
NCAS
MD
01
—
52640604
CAREFIRST OF MD
MD
01
—
64757
AMERIGROUP
MD
01
—
7240130
AETNA HEALTHCARE
MD
01
—
C500-0002
CAREFIRST OF DC
DC
01
—
C500-0002
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
11/25/2005
Last updated
03/09/2010
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