Individual
OSAMEDE OBANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695-5169
(530) 668-2600
(530) 661-0880
Mailing address
3400 DATA DR, ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT, RANCHO CORDOVA, CA 95670
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A172598
CA
Other
Enumeration date
07/07/2015
Last updated
11/18/2025
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