Omogbehin, Adedamola

Omogbehin, Adedamola is an individual health care provider with primary practice located at 110 Irving Street Nw , Washington DC 20010. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Omogbehin, Adedamola can be contacted via phone (202) 877-3925.

Contact Information

Primary practice address
110 Irving Street Nw Washington DC 20010
Phone: (202) 877-3925
Fax: (804) 355-6031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD32344 District of Columbia
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD32344 District of Columbia

Profile Details

NPI number 1841233541
LBN Legal business name Omogbehin, Adedamola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 30th, 2019 - about 5 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 1841233541 NPPES
District of Columbia MEDICAID 037632900

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