Provider Demographics
NPI:1568641561
Name:OYEDIRAN, OYEBUKOLA A (MD)
Entity Type:Individual
Prefix:
First Name:OYEBUKOLA
Middle Name:A
Last Name:OYEDIRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 INTERNATIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1334
Mailing Address - Country:US
Mailing Address - Phone:410-433-2200
Mailing Address - Fax:410-785-1987
Practice Address - Street 1:4340 PARK HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-542-8130
Practice Address - Fax:410-542-1826
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35090503208000000X
MDD0071717208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics