Individual
OLUBAYO OLUDARA-FADARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7347 HANOVER PKWY STE B, GREENBELT, MD 20770-3663
(301) 220-2277
(301) 220-4464
Mailing address
PO BOX 837, GREENBELT, MD 20768-0837
(609) 213-0237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0070459
MD
207Q00000X
Family Medicine Physician
01064553A
IN
207Q00000X
Family Medicine Physician
Primary
D0070459
MD
208D00000X
General Practice Physician
D0070459
MD
Other
Enumeration date
12/04/2007
Last updated
07/07/2020
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