Provider Demographics
NPI:1144581885
Name:ONI, IBUKUNOLUPO ODUNAYO (MB, BS, MPH)
Entity Type:Individual
Prefix:DR
First Name:IBUKUNOLUPO
Middle Name:ODUNAYO
Last Name:ONI
Suffix:
Gender:F
Credentials:MB, BS, MPH
Other - Prefix:DR
Other - First Name:IBUKUNOLUPO
Other - Middle Name:ODUNAYO
Other - Last Name:FABOYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:GBMC MAIN HOSPITAL
Mailing Address - Street 2:6701 NORTH CHARLES STREET, SUITE 5100
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:443-849-2327
Mailing Address - Fax:
Practice Address - Street 1:GBMC MAIN HOSPITAL
Practice Address - Street 2:6701 NORTH CHARLES STREET, SUITE 5100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:443-849-2327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0085856207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease