Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IMAFIDON GEORGE EDOGUN, M.D.
Deactivated Sole ProprietorIMAFIDON GEORGE EDOGUN, M.D. is a Student (Health Education/Training) healthcare provider located in SAN LEANDRO, California. NPI 1821626078 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · SAN LEANDRO, CA
This NPI has been deactivated.
The record was deactivated on March 29, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1821626078
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2020 (0.99452054794521 yrs)
- Last Updated
- Aug 17, 2023
- Deactivated
- Mar 29, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
16263 MAUBERT AVESAN LEANDRO, CA, 945782109Browse CA providers · Browse ZIP 94578
- Phone
- 5104610391
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in SAN LEANDRO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. YVETTE JENNIFER PAREDES | — | 1427195478 |
| TERREK HUMPHREYS | — | 1912033283 |
| GABRIEL KAHSAY | — | 1760515852 |
| LIZA HECHT | PSYD | 1053502906 |
| VAHIDEH HASHEMI | M.D. | 1487832762 |
| DR. MICHAEL THOMAS MADLAND | M.D. | 1255595393 |
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.