Ogunsanya, Mary
Ogunsanya, Mary is an sole proprietor health care provider with primary practice located at 12150 Annapolis Rd Suite 208, Glenn Dale MD 20769-9183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ogunsanya, Mary can be contacted via phone (301) 218-0398.Contact Information
Primary practice address
12150 Annapolis Rd Suite 208
Glenn Dale MD 20769-9183
Phone: (301) 218-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D005630 | Maryland |
Profile Details
| NPI number | 1922035633 |
|---|---|
| LBN Legal business name | Ogunsanya, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Feb 9th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922035633 | NPPES |
| Maryland | MEDICAID | 30240320 |
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