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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLUFEMI OTUBANJO, PA-C

Active

OLUFEMI OTUBANJO, PA-C is a Physician Assistant healthcare provider located in ELKRIDGE, Maryland. NPI 1336450220 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ELKRIDGE, MD

Registration Details

NPI Number
1336450220
Provider Type
Individual
Gender
Male
NPI Issued
Jun 25, 2010 (16.152549362219 yrs)
Last Updated
May 19, 2020
Licenses
C0004195 (MD)
C004195 (MD)

Practice Information

Address
6480 OLD WATERLOO RD
ELKRIDGE, MD, 210756508
Browse MD providers · Browse ZIP 21075
Phone
4107990291
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in ELKRIDGE, MD

Name Credential NPI
JANET ANGELIQUE BROWNE-AVERY PA-C 1801051453
MISS NICOLE ELIZABETH DIPEPPE PA 1356619480
MR. DANIEL METZ PA-C 1255712352
DANIEL ROBERT MCGREEVY 1649124983
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.