| Oyebukola A Oyediran, MD | |
|
4696 Millennium Dr Ste 110, Belcamp, MD 21017-1556 | |
| (410) 299-4912 | |
| (833) 764-5782 |
| Full Name | Oyebukola A Oyediran |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4696 Millennium Dr Ste 110, Belcamp, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568641561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D0071717 (Maryland) | Primary |
| 208000000X | Pediatrics | 35090503 (Ohio) | Secondary |
| Entity Name | Park Heights Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639101462 PECOS PAC ID: 7012012651 Enrollment ID: O20070410000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Oyebukola A Oyediran, MD 4696 Millennium Dr Ste 110, Belcamp, MD 21017-1556 Ph: () - | Oyebukola A Oyediran, MD 4696 Millennium Dr Ste 110, Belcamp, MD 21017-1556 Ph: (410) 299-4912 |
Kimmie L Cass, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1307 Cranesbill Ct, Apt. 101, Belcamp, MD 21017 Phone: 410-652-4812 | |
Dr. Marilyn Moshay Cooper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Bata Blvd Ste A, Belcamp, MD 21017 Phone: 410-575-6611 | |
Dr. Vera Elizabeth Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Bata Blvd, Suite A, Belcamp, MD 21017 Phone: 410-575-6611 Fax: 410-575-7408 |