Olubayo Oludara-fadare


Address: 7347 Hanover Pkwy, Suite B, Greenbelt, MD 20770-3663

Olubayo Oludara-fadare (NPI# 1750563565, PAC ID# 4688706518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1750563565
PAC ID by PECOS 4688706518
Professional Enrollment ID I20100713000328
Full Name Olubayo Oludara-fadare
Address 7347 Hanover Pkwy
Suite B
Greenbelt
MD 20770-3663
Gender M
Graduation Year 2007
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210051 DOCTORS' COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
7347 Hanover Pkwy, Suite B, Greenbelt, MD 20770-3663

Organization Information

Office Location

Street Address 7347 HANOVER PKWY
SUITE B
City GREENBELT
State MD
Zip 20770-3663

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Name Specialty Organization Address
Carol M Simon Clinical Social Worker 8955 E Edmonston Rd, Greenbelt, MD 20770-1006
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Divya Lakshmi Selvakumar Registered Dietitian Or Nutrition Professional Wellness Source LLC 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465
Reia M Tobias Clinical Social Worker Wellness Source LLC 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465
Brittany S Johnson Clinical Social Worker Wellness Source LLC 6305 Ivy Ln, Suite 101, Greenbelt, MD 20770-1465
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Competitor

Search similar physicians

City GREENBELT
Zip Code 20770
Specialty FAMILY MEDICINE
City + Specialty GREENBELT + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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