| Olutayo Abidemi Sogunro, DO | |
|
1200 N Bedell Ave, Del Rio, TX 78840-4491 | |
| (830) 768-9207 | |
| Not Available |
| Full Name | Olutayo Abidemi Sogunro |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 1200 N Bedell Ave, Del Rio, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477827525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R2482 (Texas) | Secondary |
| 208600000X | Surgery | H94522 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johns Hopkins Hospital, The | Baltimore, MD | Hospital |
| Howard County General Hospital | Columbia, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johns Hopkins University | 8921903147 | 2699 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Olutayo Abidemi Sogunro, DO 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-6423 | Olutayo Abidemi Sogunro, DO 1200 N Bedell Ave, Del Rio, TX 78840-4491 Ph: (830) 768-9207 |
Mark G Manning, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Bedell Ave, Del Rio, TX 78840 Phone: 830-774-2505 Fax: 830-774-2394 | |
Lisa Palacheck, MD Surgery Medicare: Medicare Enrolled Practice Location: 801 N Bedell Ave, Del Rio, TX 78840 Phone: 830-768-9200 | |
Dr. Shamoon A Doctor, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 612 N Bedell Ave, Ste A, Del Rio, TX 78840 Phone: 830-765-3153 |