Individual
DR. ITEGBEMIE OBAITAN
Active
Individual
DR. ITEGBEMIE OBAITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01081914A
IN
207RG0100X
Gastroenterology Physician
Primary
01081914A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264910411
MEDICARE PTAN
IN
05
—
300025536
—
IN
Enumeration date
04/19/2016
Last updated
03/20/2025
Update your record
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