Active NPIIndividual provider

Dr. Oluyinka T Igberase, MD

Student in an Organized Health Care Education/Training Program in South Orange, New Jersey

NPI Number1295421972
Practice location
31 Vose Ave Unit 372, South Orange, NJ 07079-6402
Fax
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Last updated
July 30, 2024

Oluyinka Theodore Igberase is a Student in an Organized Health Care Education/Training Program based in South Orange, NJ. Oluyinka Theodore Igberase practices in South Orange, NJ and has the professional credentials of MD. The NPI Number for Oluyinka Theodore Igberase is 1295421972 and holds a License No. 4351051496 (MI). The current practice location address for Oluyinka Theodore Igberase is 31 Vose Ave Unit 372, South Orange, NJ 07079-6402 and can be reached out via phone at 415-409-9569.

Provider Profile Details

NPI Number
1295421972
Provider Name
Oluyinka Theodore Igberase
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
31 Vose Ave Unit 372, South Orange, NJ 07079-6402
Phone Number
415-409-9569
Sole Proprietor
No
Provider Enumeration Date
April 14, 2023
Last Update Date
July 30, 2024
Certification Date
July 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Vose Ave Unit 372
South Orange, NJ 07079-6402
Zip
07079-6402
Phone Number
415-409-9569
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
31 Vose Ave Unit 372
South Orange, NJ 07079-6402
City
South Orange
State
NJ
Zip
07079-6402

License Information

License Number
4351051496
License State
MI

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Oluyinka T Igberase, MD?

The NPI number of Dr. Oluyinka T Igberase, MD is 1295421972. It was assigned on April 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Oluyinka T Igberase, MD?

Dr. Oluyinka T Igberase, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MI under license number 4351051496.

Where does Dr. Oluyinka T Igberase, MD practice?

The practice location is 31 Vose Ave Unit 372, South Orange, NJ 07079-6402. The office can be reached at 415-409-9569 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295421972 directly on the NPPES registry website.

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