- Practice location
- 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324
- Phone
- 443-643-1500
- Fax
- —
- Last updated
- March 28, 2023
Etinosasere Okundaye is an Internal Medicine based in Bel Air, MD. Etinosasere Okundaye practices in Bel Air, MD. The NPI Number for Etinosasere Okundaye is 1598296758 and holds a License No. FO9573836 (NC). The current practice location address for Etinosasere Okundaye is 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 and can be reached out via phone at 443-643-1500.
Provider Profile Details
- NPI Number
- 1598296758
- Provider Name
- Etinosasere Okundaye
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324
- Phone Number
- 443-643-1500
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2017
- Last Update Date
- March 28, 2023
- Certification Date
- March 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Upper Chesapeake Dr
Bel Air, MD 21014-4324 - City
- Bel Air
- State
- Maryland
- Zip
- 21014-4324
- Phone Number
- 443-643-1500
Provider Business Mailing Address Details
- Address
- 106 S Stiles St Apt 4
Linden, NJ 07036-4339 - City
- Linden
- State
- NJ
- Zip
- 07036-4339
- Phone Number
- 951-447-9921
License Information
- License Number (1)
- FO9573836
- License State (1)
- NC
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- D93506
- License State (2)
- MD
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Etinosasere Okundaye?
The NPI number of Etinosasere Okundaye is 1598296758. It was assigned on March 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Etinosasere Okundaye?
Etinosasere Okundaye is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NC under license number FO9573836.
Where does Etinosasere Okundaye practice?
The practice location is 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324. The office can be reached at 443-643-1500 (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 1598296758 directly on the NPPES registry website.