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Individual

DR. IBUKUN-OLU AKINYEMI ISAACS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
23507 HOLLYWOOD RD STE 2, LEONARDTOWN, MD 20650-5833
(301) 475-8860
(301) 473-3843
Mailing address
23507 HOLLYWOOD RD STE 2, LEONARDTOWN, MD 20650-5833
(301) 475-8860
(301) 473-3843

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0071845
MD
2084P0804X
Child & Adolescent Psychiatry Physician
FI1257763
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740430305
MD
Enumeration date
09/19/2008
Last updated
02/22/2013
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