Oketunji, Ayoku S

Oketunji, Ayoku S is an individual health care provider with primary practice located at 301 Hospital Dr , Glen Burnie MD 21061-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Oketunji, Ayoku S can be contacted via phone (410) 787-4000.

Contact Information

Primary practice address
301 Hospital Dr Glen Burnie MD 21061-5803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0043977 Maryland

Profile Details

NPI number 1083697312
LBN Legal business name Oketunji, Ayoku S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Nov 28th, 2007 - about 18 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 1083697312 NPPES
Maryland MEDICAID 201781400

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