Individual
OLOLADE SANUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6535 N CHARLES ST STE 100, BALTIMORE, MD 21204-5828
(443) 849-2707
(443) 849-8066
Mailing address
6535 N CHARLES ST STE 100, BALTIMORE, MD 21204-5828
(443) 849-2707
(443) 849-8066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0095577
MD
207R00000X
Internal Medicine Physician
D0096677
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212374600
—
MD
Enumeration date
03/31/2020
Last updated
12/06/2023
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