Individual
DR. OLUMUYIWA GISANRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MONTICELLO AVE, WILLIAMSBURG, VA 23185-2840
(757) 564-3627
(757) 564-6449
Mailing address
PO BOX 5508, VIRGINIA BEACH, VA 23471-0508
(757) 340-3489
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101238858
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101238858
STATE LICENCE
VA
Enumeration date
10/04/2006
Last updated
03/27/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us