Individual
MODUPE OLUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7581
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR-0024850
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
05/05/2022
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