Koya, Ibikunle Olayemi

Koya, Ibikunle Olayemi is an individual health care provider with primary practice located at 1205 York Rd Suite 26, Lutherville MD 21093-6210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Koya, Ibikunle Olayemi can be contacted via phone (410) 532-1640.

Contact Information

Primary practice address
1205 York Rd Suite 26 Lutherville MD 21093-6210
Phone: (410) 532-1640
Fax: (410) 321-5787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D42219 Maryland

Profile Details

NPI number 1447336623
LBN Legal business name Koya, Ibikunle Olayemi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Nov 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447336623 NPPES
Maryland MEDICAID 330441800
Maryland Other 181308Y56

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