Provider Demographics
NPI:1538327903
Name:OGUNBIYI, KHADIJAT ARINOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:KHADIJAT
Middle Name:ARINOLA
Last Name:OGUNBIYI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KHADIJAT
Other - Middle Name:ARINOLA
Other - Last Name:JUNAID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1239
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-1239
Mailing Address - Country:US
Mailing Address - Phone:281-815-3812
Mailing Address - Fax:833-217-0891
Practice Address - Street 1:16506 FM 529 RD STE 116
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095
Practice Address - Country:US
Practice Address - Phone:281-815-3812
Practice Address - Fax:833-217-0891
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0921207R00000X
VA0101243871207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200613040AMedicaid
TX200613040AMedicaid
VAP00677372Medicare PIN