Provider Demographics
NPI:1437317005
Name:OJEYEMI, OJEDAPO A (MD)
Entity Type:Individual
Prefix:DR
First Name:OJEDAPO
Middle Name:A
Last Name:OJEYEMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAPO
Other - Middle Name:
Other - Last Name:OJEYEMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5205 CHAIRMANS CT STE 201A
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2918
Mailing Address - Country:US
Mailing Address - Phone:240-629-3939
Mailing Address - Fax:240-629-3940
Practice Address - Street 1:5205 CHAIRMANS CT STE 201A
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2918
Practice Address - Country:US
Practice Address - Phone:240-629-3939
Practice Address - Fax:240-629-3940
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD039826207XS0117X, 207XS0117X
TXN5918207XS0117X
MDD0073234207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD330481OtherMEDICARE PTAN
DC229255OtherMEDICARE PTAN