Provider Demographics
NPI:1306209143
Name:ILUFOYE, MOSOPEFOLUWA (MD)
Entity type:Individual
Prefix:
First Name:MOSOPEFOLUWA
Middle Name:
Last Name:ILUFOYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MOSOPEFOLUWA
Other - Middle Name:
Other - Last Name:LANLOKUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2500 LEGACY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5984
Mailing Address - Country:US
Mailing Address - Phone:469-209-8355
Mailing Address - Fax:
Practice Address - Street 1:1838 GREENE TREE RD STE 260
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-7108
Practice Address - Country:US
Practice Address - Phone:410-486-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO104678207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology